Locally advanced cervical cancer — Stage IIB and beyond — is not a surgical disease. For women from Greater Noida with bulky or parametrial-involving cervical cancer, the standard treatment is concurrent chemoradiation, which achieves cure rates comparable to surgery with excellent quality of life. Dr. Monisha Gupta at Fortis Hospital, Shalimar Bagh, New Delhi coordinates this treatment personally.
What Is Concurrent Chemoradiation?
Concurrent chemoradiation combines:
- External beam radiation therapy (EBRT) — targeting the cervix, uterus and pelvic lymph nodes over 5 weeks (25 sessions), delivering precisely calculated doses using modern IMRT/VMAT technology
- Brachytherapy (internal radiation) — a radioactive source placed inside the vagina and cervix for 3–5 high-dose sessions after EBRT
- Weekly cisplatin chemotherapy — given alongside radiation to sensitise cancer cells and improve response rates
Stages Treated with Chemoradiation
Stage IIB, III and IVA cervical cancers — where the tumour has grown into the parametria, sidewall, kidney-draining ureters, or bladder — are treated with chemoradiation rather than surgery, as these tumours cannot be removed with clear margins. Selected Stage IVB patients also receive palliative radiation for symptom control.
Side Effects and Management
Temporary side effects include fatigue, loose stools, and urinary frequency. Long-term vaginal stenosis is managed with a dilator programme. Dr. Monisha discusses these proactively with every patient from Greater Noida — including those from Gamma, Delta, Zeta, Omicron Sectors, Knowledge Park — so that informed decisions can be made before starting treatment.
Book a Consultation
Contact Dr. Monisha Gupta at Fortis Hospital, Shalimar Bagh, New Delhi via our appointment page.
