A Stage III or Stage IV uterine cancer diagnosis is serious — but it is not hopeless. Women from Alwar with advanced-stage disease have access to a full range of multimodal treatments under Dr. Monisha Gupta at Fortis Hospital, Shalimar Bagh, New Delhi, including cytoreductive surgery, chemotherapy, and targeted radiation.
What “Advanced Stage” Means
Advanced uterine cancer is defined as disease that has spread beyond the uterus:
- Stage III — spread to the pelvic lymph nodes, vagina, or ovaries
- Stage IVA — spread to the bladder or bowel
- Stage IVB — spread to distant organs (lungs, liver, distant lymph nodes)
Treatment in these stages is complex and requires the co-ordinated expertise of a surgeon, radiation oncologist, and medical oncologist — exactly the team available at Fortis Hospital.
Surgical Cytoreduction
Even in advanced stages, surgery often plays a role. Removing as much tumour as possible (cytoreduction or debulking surgery) makes subsequent chemotherapy and radiation more effective. Dr. Monisha performs extended pelvic surgery, including lymph node dissection and removal of involved structures, when it is likely to benefit the patient.
Chemotherapy and Targeted Therapy
Platinum-based chemotherapy (carboplatin + paclitaxel) is the standard regimen for advanced uterine cancer. For women with specific tumour markers (MMR-deficient or HER2-positive tumours), targeted agents such as pembrolizumab (immunotherapy) or trastuzumab offer additional benefit. Dr. Monisha’s tumour board reviews every such case to identify patients who may respond to these newer therapies.
Hope for Women from Alwar
Women from Alwar — including those from Civil Lines, RIICO Industrial Area, Alwar City — should not resign themselves to “nothing can be done.” Even in Stage IV disease, meaningful remissions and improved quality of life are achievable with the right treatment. Contact Dr. Monisha Gupta at Fortis Hospital Delhi for a full evaluation.
