Endometrial Cancer Treatment in Delhi

Abnormal uterine bleeding, especially bleeding after menopause, should never be ignored. While it may be caused by non-cancerous conditions, it can also be an early sign of endometrial cancer, the most common type of uterine cancer. Fortunately, when detected early, endometrial cancer is highly treatable, and many women achieve excellent long-term outcomes with timely treatment.

Dr. Archit Pandit, an AIIMS-trained Surgical Oncologist, offers comprehensive endometrial cancer treatment in Delhi, including advanced diagnosis, robotic and laparoscopic surgery, chemotherapy, radiation therapy, and personalised follow-up care. Every treatment plan is tailored to the patient’s cancer stage, overall health, and treatment goals through a multidisciplinary approach.

Whether you have recently been diagnosed, are experiencing abnormal uterine bleeding, or are seeking a second opinion, early consultation with an experienced cancer specialist can help you make informed treatment decisions.

What Is Endometrial Cancer?

Endometrial cancer is a type of uterine cancer that develops in the endometrium, the inner lining of the uterus (womb). It is the most common gynaecological cancer affecting the uterus and accounts for nearly 90% of all uterine cancers.

Most cases occur after menopause, although younger women with hormonal disorders such as PCOS, obesity, infertility, or inherited genetic conditions may also develop the disease.

One of the reasons endometrial cancer has a high cure rate is that it usually causes symptoms early, allowing prompt diagnosis before the cancer spreads.

Why Are Endometrial Cancer Cases Increasing?

The incidence of endometrial cancer has increased steadily in recent years, largely due to changing lifestyles and hormonal health.

Common reasons include:

• Rising obesity
• Polycystic Ovary Syndrome (PCOS)
• Diabetes and metabolic syndrome
• Sedentary lifestyle
• Delayed childbirth
• Longer life expectancy
• Increased exposure to estrogen

These factors can lead to prolonged stimulation of the uterine lining, increasing the likelihood of abnormal cell growth and cancer development.

What Are the Symptoms of Endometrial Cancer?

The earliest and most common symptom of endometrial cancer is abnormal vaginal bleeding.

You should consult a specialist if you experience:

• Bleeding after menopause
• Heavy or prolonged menstrual bleeding
• Bleeding between menstrual periods
• Blood-stained or watery vaginal discharge
• Pelvic pain or pressure
• Pain during intercourse
• Persistent lower abdominal pain
• Unexplained weight loss
• Fatigue

Top 5 Risk Factors for Endometrial Cancer

Understanding your risk factors can help with early detection and timely treatment.

1. Obesity

Obesity is the leading risk factor for endometrial cancer. Excess body fat increases estrogen levels, which may cause abnormal growth of the uterine lining.

2. PCOS and Irregular Ovulation

Women with PCOS, infertility, or irregular menstrual cycles have prolonged estrogen exposure due to lack of regular ovulation, increasing the risk of endometrial cancer.

3. Hormonal Therapy

Long-term estrogen therapy without progesterone and certain medications, such as tamoxifen, may increase the risk in some women.

4. Early Menstruation and Late Menopause

Women who start menstruating early or reach menopause later have a longer lifetime exposure to estrogen, increasing their risk.

5. Family History and Lynch Syndrome

Women with Lynch syndrome or a family history of uterine, ovarian, or colorectal cancer have a significantly higher risk and may benefit from genetic counselling.

Can Endometrial Cancer Be Prevented?

Although endometrial cancer cannot always be prevented, adopting a healthy lifestyle may reduce the risk.

You can lower your risk by:

• Maintaining a healthy weight
• Exercising regularly
• Managing PCOS and diabetes
• Seeking medical evaluation for abnormal uterine bleeding
• Discussing hormone therapy with your doctor
• Considering genetic counselling if you have a strong family history of cancer

Early recognition of symptoms remains the most effective way to improve treatment outcomes.

How Is Endometrial Cancer Diagnosed?

An accurate diagnosis is essential to determine the stage of the disease and create the most effective treatment plan. If you experience abnormal uterine bleeding or other suspicious symptoms, your doctor may recommend one or more of the following tests.

Clinical Evaluation

The consultation begins with a detailed discussion of your symptoms, menstrual and medical history, family history of cancer, and a pelvic examination.

Transvaginal Ultrasound (TVS)

A transvaginal ultrasound helps evaluate the thickness of the endometrium and detect abnormalities within the uterus. In postmenopausal women, an unusually thick endometrium may require further investigation.

Endometrial Biopsy

An endometrial biopsy is the most important test to confirm the diagnosis. A small tissue sample is collected from the uterine lining and examined under a microscope to determine whether cancer cells are present.

Hysteroscopy

A hysteroscopy uses a thin camera inserted through the cervix to examine the inside of the uterus. It also allows targeted biopsies from suspicious areas.

CT Scan, MRI or PET-CT

If cancer is confirmed, imaging tests help determine:

• Size of the tumour
• Depth of invasion into the uterus
• Lymph node involvement
• Spread to nearby or distant organs

These investigations help accurately stage the cancer and guide treatment decisions.

What Are the Stages of Endometrial Cancer?

Endometrial cancer is staged using the FIGO staging system, which describes how far the cancer has spread.

Stage I

The cancer is confined to the uterus. This is the most common stage at diagnosis and usually has an excellent prognosis.

Stage II

The cancer has spread to the cervix but remains within the uterus.

Stage III

The cancer has spread beyond the uterus to nearby tissues, ovaries, vagina, or lymph nodes.

Stage IV

The cancer has spread to distant organs such as the bladder, bowel, lungs, liver, or other parts of the body.

Early-stage endometrial cancer often requires surgery alone, while advanced stages may need a combination of surgery, chemotherapy, radiation therapy, or hormone therapy.

What Is the Best Treatment for Endometrial Cancer?

Treatment depends on several factors, including:

• Stage of the cancer
• Tumour grade
• Cancer subtype
• Age and overall health
• Fertility considerations
• Lymph node involvement

Most patients benefit from a multidisciplinary treatment approach, where surgical oncologists, medical oncologists, radiation oncologists, radiologists, and pathologists work together to develop an individualised treatment plan.

Treatment may include:

• Surgery
• Robotic or laparoscopic surgery
• Radiation therapy
• Chemotherapy
• Hormone therapy
• Targeted therapy or immunotherapy in selected advanced cases

Is Surgery Necessary for Endometrial Cancer?

Yes. Surgery is the primary treatment for most women diagnosed with early-stage endometrial cancer and offers the best chance of cure.

The standard operation usually includes:

• Total hysterectomy (removal of the uterus)
• Removal of both ovaries and fallopian tubes (bilateral salpingo-oophorectomy)
• Pelvic lymph node assessment
• Para-aortic lymph node assessment when required
• Sentinel lymph node biopsy in selected patients

The final pathology report helps determine whether additional treatment such as chemotherapy or radiation therapy is required.

What Happens After Endometrial Cancer Surgery?

Recovery varies from person to person, but most women recover more quickly after minimally invasive surgery than after open surgery.

During recovery, patients are encouraged to:

• Walk within 24 hours of surgery
• Resume eating gradually as advised
• Perform breathing and leg exercises
• Follow wound care instructions
• Attend scheduled follow-up visits

The pathology report is usually reviewed after surgery to determine whether any additional treatment is required.

Recovery and Follow-Up After Endometrial Cancer Treatment

Recovery after endometrial cancer treatment depends on the type of surgery performed, the stage of the disease, and whether additional treatments such as chemotherapy or radiation therapy are required.

Women undergoing robotic or laparoscopic surgery usually experience a quicker recovery compared to open surgery.

Most patients can expect:

• Walking within 24 hours after surgery
• Shorter hospital stay
• Less post-operative pain
• Earlier return to normal activities
• Regular follow-up appointments to monitor recovery

Your doctor will also review the final pathology report to determine if any further treatment is needed.

Follow-Up Care After Endometrial Cancer Treatment

Follow-up care is an important part of long-term cancer management.

During follow-up appointments, your specialist may:

• Review your symptoms and overall health
• Perform a pelvic examination
• Monitor recovery after surgery
• Recommend imaging tests if required
• Discuss lifestyle measures to reduce future health risks

The frequency of follow-up depends on your individual diagnosis and treatment plan.

Why Choose Dr. Archit Pandit for Endometrial Cancer Treatment in Delhi?

Choosing the right cancer specialist is essential for achieving the best possible outcomes.

Dr. Archit Pandit offers comprehensive, evidence-based care for women diagnosed with endometrial cancer, with treatment tailored to each patient’s condition and goals.

Expertise includes:

• Comprehensive evaluation and accurate staging
• Robotic and laparoscopic endometrial cancer surgery
• Open surgery for complex and advanced cases
• Sentinel lymph node assessment
• Multidisciplinary cancer treatment planning
• Chemotherapy and radiation therapy coordination
• Personalised follow-up and survivorship care
• Second opinions for newly diagnosed or recurrent endometrial cancer

Every treatment plan is developed with a focus on safe cancer removal, faster recovery, and improved long-term outcomes.

Book a Consultation for Endometrial Cancer Treatment in Delhi

If you have abnormal uterine bleeding, have recently been diagnosed with endometrial cancer, or are looking for a second opinion, consult Dr. Archit Pandit for a comprehensive evaluation and personalised treatment plan.

With expertise in robotic surgery, laparoscopic cancer surgery, and multidisciplinary gynaecological oncology, Dr. Archit Pandit provides advanced, evidence-based care for women with endometrial cancer in Delhi.

Early diagnosis and timely treatment can make a significant difference. Schedule your consultation to discuss your diagnosis, understand your treatment options, and receive a personalised care plan.