1. |
Ovarian Cancer |
Consider systemic therapy. |
Consider systemic therapy |
Defer Surgery |
(Defer Surgery except pelvic confined suspected masses of ovarian cancer) |
Metronomic chemotherapy (Pazopanib/Endoxan/Etoposide) |
2 |
Endometrium Ca (high grade/high risk uterine) |
Consider for surgery within 4 weeks based on the urgency of symptoms |
Defer surgery and Consider for alternative treatment – Radiotherapy /chemotherapy/Hormonal therapy |
|
3 |
Early stage, low grade endometrial cancers |
Defer surgery for 10–12 weeks |
|
Defer surgery |
4 |
Cervical cancer |
Defer surgery for CIN |
|
|
Consider surgery for early stage operable cancer |
Consider CT+ RT |
Locally advanced cancers |
CT + RT |
5 |
Emergency indications – Bleeding, bowel perforation, peritonitis, torsion, rupture of suspected malignant pelvic masses |
Surgery |
|
Surgery |