{"id":43787,"date":"2025-08-11T13:24:11","date_gmt":"2025-08-11T13:24:11","guid":{"rendered":"https:\/\/droukacha.formation360.ma\/?page_id=43787"},"modified":"2025-09-09T14:02:50","modified_gmt":"2025-09-09T14:02:50","slug":"cancer-pelvien","status":"publish","type":"page","link":"https:\/\/docteuroukachanadia.com\/en\/cancer-pelvien\/","title":{"rendered":"Pelvic cancer"},"content":{"rendered":"
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Pelvic cancer<\/h6>\t\t\t\t<\/div>\n\t\t\t\t
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Endometrial cancer<\/h3>

Endometrial cancer is the most common gynecological cancer, ranking 5th among cancers in women in terms of incidence.<\/p>

This cancer generally occurs after the menopause.<\/p>

The average age of patients at diagnosis was 68.<\/p>

The main risk factors for endometrial cancer are obesity, diabetes and Tamoxifen treatment.<\/p><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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Book your consultation<\/span><\/span><\/a><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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Diagnosis of endometrial cancer<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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The diagnosis of endometrial cancer is suspected in the presence of post-menopausal vaginal bleeding, after a gynaecological examination has ruled out cervical pathology.<\/p>

Pelvic ultrasound exploration is then indicated to look for endometrial hypertrophy.<\/p>

This requires a histological study of the endometrium by biopsy.<\/p>

Diagnostic hysteroscopy is the major examination required to visualize the uterine cavity.<\/p>

During this diagnostic hysteroscopy, a biopsy may be performed.<\/p>

Anatomopathological diagnosis of endometrial cancer must precede extension assessment and therapeutic management.<\/p>

Endometrial cancer is most often found in post-menopausal women, which is why any bleeding after menopause is suspicious and should be investigated.<\/p>

MRI is particularly useful for assessing the extent of the disease prior to surgery, as it can assess the depth of invasion and any lymph node involvement.<\/p>

This prognostic value is essential for adapting treatment (surgery, radiotherapy, chemotherapy).<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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Book your consultation<\/span><\/span><\/a><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/section>\n\t\t
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Treatment of endometrial cancer<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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Standard surgical treatment involves hysterectomy with bilateral adnexectomy by laparoscopy, or by laparotomy if uterine volume is too great.<\/p>

Lymphadenectomy (lymph node dissection) is most often indicated, with pelvic and, in some cases, lumbo-aortic lymphadenectomy.<\/p>

Radiotherapy and brachytherapy may be indicated depending on the stage of the disease, as determined by post-operative results.<\/p>

Chemotherapy is used less frequently, mainly for patients with distant metastases or peritoneal carcinosis.<\/p>

All cases are currently discussed at the RCP (R\u00e9union de Concertation Pluridisciplinaire) with surgeons and oncologists (radiotherapists, chemotherapists), enabling appropriate, consensual management in line with the recommendations of learned societies.<\/p><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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Cervical cancer<\/h3>\t\t\t\t<\/div>\n\t\t\t\t
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90 % of uterine cancers are linked to HPV (Human papillomavirus) infection, and could be detected and prevented by regular, careful monitoring (cervico-vaginal smear and colposcopy).<\/p>

Virus strains 16 and 18 are responsible for 70% of squamous cell cervical cancers (the most common form).<\/p>

However, an HPV infection is not synonymous with cervical cancer, especially in young women, because HPV, like any virus, can disappear spontaneously: AN INFECTION IS NOT A LEECH.<\/p>

Vaccination against the HPV virus should be offered systematically to all young girls in order to eradicate cervical cancer.<\/p><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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Screening for cervical cancer and cervical dysplasia<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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Cervical cancer is the second most common cancer in women and could be eradicated by proper prevention. .<\/p>

Regular Pap smears and HPV testing enable early lesions (dysplasia, intraepithelial lesions) to be treated with minimally invasive surgery (conization or removal of a small portion of the cervix).<\/p>

Colposcopy is an invaluable examination for identifying these cervical lesions under high magnification, so that they can be biopsied.<\/p><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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Diagnosis Cervical cancer<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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Cervical cancer can be discovered during a standard gynecological consultation and a cervico-vaginal smear test.<\/p>

Cervical cancer can also be responsible for induced bleeding (sexual intercourse).<\/p>

After diagnosis, a full workup is required to determine the extent of the disease and define the best treatment strategy.<\/p>

Most cervical cancers are highly sensitive to radiation (radiotherapy).<\/p>

In many cases, treatment will involve a combination of radio-chemotherapy and surgery (hysterectomy and lymph node dissection).<\/p><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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Treatment of cervical cancer<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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Cervical cancer has a local extension in the first instance, and its treatment is essentially surgical, supplemented by and\/or brachytherapy (local radiotherapy of the vagina and parametrium), radiotherapy and chemotherapy.<\/p>

In most cases, the surgical procedure will be complete, combining a hysterectomy, removal of the adnexa, and a complete lymph node curage (pelvic and lumbo-aortic).<\/p>

Each case is currently discussed in a RCP (multidisciplinary consultation meeting) with surgeons, oncologists (radiotherapists, chemotherapists) and psychologists, enabling us to provide appropriate, consensual care.<\/p><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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Ovarian tumors\n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t
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Origin<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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Ovarian tumors can be benign (functional cysts, endometriotic cysts, etc.) or malignant (ovarian cancer).<\/p>

In all cases, it is an anomaly in the growth of ovarian tissue.<\/p><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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Circumstances of discovery\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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The volume of the ovarian tumor varies according to its origin.<\/p>

These may include diffuse fluctuating pelvic pain, acute pelvic pain in the event of complications, genital haemorrhage, abdominal enlargement, intestinal and urinary problems, and fatigue.<\/p>

It may be discovered during a routine examination, an ultrasound scan or during pregnancy.<\/p><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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After a thorough clinical examination, an ultrasound scan will be performed, supplemented by a CT scan and MRI if necessary.<\/p>

The difficulty lies in the fact that the malignant or benign origin is difficult to determine during radiology examinations.<\/p>

In most cases, excision is necessary.<\/p>

Benign functional cysts are typical and may benefit from simple surveillance with an ultrasound check at 3 months.<\/p><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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Treatment of benign tumors\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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Cystectomy (removal of the cyst with preservation of the ovary)<\/p>

Oophorectomy (removal of the ovary): most often by laparoscopy.<\/p><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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Treatment of malignant tumors\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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Ovarian cancer is the leading cause of death among malignant tumours of the pelvic genital tract.<\/p>

The anatomical extension and intra-abdominal diffusion routes also explain the seriousness of this cancer and its often late diagnosis, which in turn explains its dreadful prognosis.<\/p>

Risk factors are still poorly understood. The use of oral contraceptives appears to reduce the risk of ovarian cancer.<\/p>

Any suspected ovarian lesion should undergo a full extension workup prior to surgery, which will also enable the tumor to be staged.<\/p>

Ultrasound can be used to make a diagnosis, but it cannot be used alone to determine the extent of this tumour, which is intraperitoneal (in the abdominal cavity), or to assess lymph node involvement.<\/p>

MRI allows us to assess this extension, which will be reassessed during the operation, most often performed laparoscopically.<\/p>

Only limited, low-grade tumors in young women can benefit from a limited surgical procedure, such as removal of the adnexa (tube + ovary) on one side only, to preserve the patient's fertility.<\/p>

In most cases, the surgical procedure will be complete, combining hysterectomy, removal of the adnexa, omentectomy (removal of the omentum) and complete lymph node dissection (pelvic and lumbo-aortic).<\/p>

Combining surgery and chemotherapy is essential, and can be done either before or after.<\/p>

This decision is made on a case-by-case basis at a multidisciplinary consultation meeting between the surgeon and oncologists.<\/p><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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Borderline ovarian cancer<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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Border Line ovarian cancers are very special forms of ovarian cancer, as they do not penetrate deep into the ovarian tissue and therefore have a good prognosis.<\/p>

In most cases, it is an anatomical pathological discovery following the removal of a cyst or ovary that was not suspected prior to surgery.<\/p>

While surgery may be conservative in young women whose fertility is to be preserved, caution should be exercised in other cases, and a more radical procedure (hysterectomy +annexectomy +omentectomy) should be considered.<\/p><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/section>\n\t\t

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Care philosophy<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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A holistic approach to women's health<\/h3>\t\t\t\t<\/div>\n\t\t\t\t
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Dr Nadia Oukacha puts her expertise in gynecology, obstetrics and fertility at the service of every woman, combining listening, prevention and cutting-edge technology.<\/p>\t\t\t\t<\/div>\n\t\t

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Active listening and caring <\/h5>\t\t\t\t<\/div>\n\t\t\t\t
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Each consultation begins with an in-depth discussion to understand your needs and establish a climate of trust.<\/p>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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Comprehensive, personalized approach<\/h5>\t\t\t\t<\/div>\n\t\t\t\t
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A complete check-up, nutritional advice and psychological follow-up are adapted to your age and life situation.<\/p>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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Focus on prevention <\/h5>\t\t\t\t<\/div>\n\t\t\t\t
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Regular smear tests, screening and check-ups aim to anticipate risks and preserve your health over the long term.<\/p>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/section>\n\t\t

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Frequently asked questions (FAQ)<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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Here you'll find answers to the most frequently asked questions about consultations, specialties, booking appointments and how the practice works.<\/p>\t\t\t\t<\/div>\n\t\t\t\t

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contact us <\/span><\/span><\/a><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t
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How do I make an appointment with Dr Oukacha?<\/span><\/a><\/i><\/span><\/i><\/span><\/span><\/h3>

You can book your consultation directly online via our website or by calling the practice on +212 606 12 12 13. A contact form is also available on the site.<\/p><\/div><\/div>

What are Dr Nadia Oukacha's specialties?<\/span><\/a><\/i><\/span><\/i><\/span><\/span><\/h3>

Dr Oukacha specializes in :<\/p>