Advanced vulvar cancer — Stage III (groin node involvement) or Stage IVA (spread to adjacent structures) — requires co-ordinated multimodal treatment. Women from Alwar with advanced disease should not accept a “nothing can be done” answer. Dr. Monisha Gupta at Fortis Hospital, Shalimar Bagh, New Delhi coordinates surgery, chemoradiation and supportive care for the most complex vulvar cancer presentations.
Stage III Vulvar Cancer — Node-Positive Disease
When inguinal lymph nodes contain cancer, post-operative radiation to the groins and pelvis is standard. This reduces the risk of regional recurrence significantly. The sequence — surgery first, then radiation — requires careful planning of the surgical incisions to ensure the radiation fields can be delivered optimally. Dr. Monisha co-ordinates this planning with the radiation oncology team at Fortis before the operation.
Preoperative Chemoradiation for Very Advanced Disease
For Stage IVA tumours involving the urethra, anus, or rectum, preoperative chemoradiation can shrink the tumour enough to allow a less mutilating operation — potentially sparing a stoma or preserving urinary continence. This approach (neoadjuvant chemoradiation followed by surgery) is offered to selected patients at Fortis Hospital.
Palliative Treatment for Stage IVB
For women from Alwar — including those from Civil Lines, RIICO Industrial Area, Alwar City — with distant metastatic disease, palliative intent treatment (radiation to control local bleeding or pain, chemotherapy to slow progression) can significantly improve quality of life. Dr. Monisha discusses realistic goals honestly, with compassion.
Book a Consultation
Contact Dr. Monisha Gupta at Fortis Hospital, Shalimar Bagh, New Delhi via our appointment page.
