The Dra. Gómez Roig Institute in Barcelona collaborates directly with a center of excellence in oncology located in the Corachán Clinic called GenesisCare.
The Institute's professionals work with physicians specializing in medical oncology, clinical hematology, and internal medicine. We have the best professionals in Cancer and Precancerous Diseases of the Reproductive Organs.
All the medical specialties involved in each of the cancerous lesions meet periodically in the Tumor Committee of the Corachan Clinic.
This Committee promotes the constant updating of diagnostic and therapeutic clinical protocols and guidelines.
In our Gynecology consultations we offer you personalized, professional and human attention.
Precancerous lesions and cancer are treated within our medical services.
Cervical Cancer
Cervical cancer occurs when normal neck cells change into diseased cells that grow out of control.
Most women with this type of cancer are treated and have a good quality of life.
What are the symptoms of cervical cancer?
Cervical cancer may not cause any symptoms at first. When it presents clinic, vaginal bleedingis the most common symptom.
Bleeding can appear between periods, or after intercourse.
Is there any test to diagnose this cancer?
For diagnosis, a neck cytology is carried out, also called PAP test. This test is practiced in gynecological check-ups.
Depending on the age of the woman, a test is also performed to detect the Human papilloma virus, HPV.
HPV infection may be the cause.
If the test results are abnormal, a Via/ Villi and biopsy of the detected lesion.
If precancerous cells are detected, the specialist doctor can treat them in different ways.
What is the treatment for neck cancer?
Treatment includes:
- Surgery: There are different types of surgeries depending on the extent of the lesion.
- Radiotherapy: Radiation kills cancer cells.
- Chemotherapy: Women usually receive chemotherapy at the same time as radiation therapy.
Can cervical cancer be prevented?
Prevention is based on the fact that almost all types are caused by a virus called human papillomavirus (HPV) that is transmitted through sexual intercourse.
There is currently a vaccine to avoid HPV infection.
This vaccine is available for men and women.
The treatment of precancerous lesions diagnosed in gynecological check-ups can prevent the appearance of cervical cancer.
Uterine cancer
Uterine cancer occurs when normal cells in the body of the uterus transform and grow excessively.
The uterus, also called the womb, is the part of the body where the baby grows in case of pregnancy.
It can appear in women of any age, but it is more frequent in menopausal women.
What is the uterine cancer clinic?
The most common clinic for uterine cancer is an abnormal vaginal bleeding. It is considered abnormal bleeding: between menstrual cycles, menstrual bleeding heavier than usual and bleeding at menopause.
How is it diagnosed?
It is diagnosed when there is vaginal bleeding that should not occur. The specialist, in these cases, requests a biopsy of the endometrium to see if there are cancer cells.
Gynecological ultrasound, measuring the thickness of the endometrium, also provides valuable information for diagnosis.
In menopausal women, a endometrial targeted hysteroscopy and biopsy can be carried out.
How is uterine cancer treated?
In most cases, a surgery called hysterectomy: removal of the uterus, ovaries, and fallopian tubes.
Some women, depending on the extent, after surgery must also perform some other treatment:
- Radiotherapy.
- Chemotherapy.
Ovarian cancer
Ovarian cancer occurs when normal cells in the ovary change into diseased cells and grow out of control.
In most cases, ovarian cancer occurs in women between the ages of 50 – 65, and is sometimes hereditary.
What are the symptoms of ovarian cancer?
The ovarian cancer symptoms can vary: feeling of swelling or stomach pain. In addition to difficulty eating due to lack of desire and also the need to urinate frequently.
The clinic worsens as the cancer progresses.
Is there a test to detect ovarian cancer?
The tests that can detect it are:
- Gynecological ultrasound or other imaging studies.
- Blood Tests: markers such as the CA 125 test.
- Surgery: A biopsy of the tissue is the only way to know for sure if a woman has it.
How is it treated?
In most cases, the first part of treatment is surgery to remove the cancer. Other women may need other treatment such as chemotherapy.
Surgeries are usually complex due to the risk of affecting other neighboring organs and should only be performed by specialist surgeons.
SCan it be prevented?
If there is a history of ovarian, breast, uterine or colon cancer in your family. A specialist doctor should be consulted to rule out the hereditary cancer.
The specialist will inform you what you can do to prevent it.
Breast cancer
Breast cancer occurs when normal breast cells change into pathological cells and grow independently.
Frequently, it can be associated with a family inheritance.
Is there any test to detect breast cancer?
To detect breast cancer imaging techniques such as mammograms and breast ultrasounds are performed.
Given the suspicion of a breast pathology, puncture of the lesion, biopsy and study of the tissue are indicated.
How is breast cancer treated?
Most people undergo one or more of the following treatments:
- Surgery: Currently, conservative surgery is always attempted, extracting only the tumor. This type of surgery is always complemented with radiotherapy. Depending on the type of cancer, excision of the sentinel lymph node will also be indicated. In other cases, a mastectomy, surgery in which the entire chest is removed.
- Reconstructive plastic surgery in case of mastectomy. Each case will be assessed.
- Radiotherapy
- Chemotherapy: Some women perform it before surgery to reduce the size of the tumor and thus facilitate its removal. Other women take them after surgery to prevent it from developing, or coming back. Depending on the type and its extension, chemotherapy will be indicated.
- Hormonal therapy: Some forms develop because of hormones. In these cases, a treatment can be given to block the hormones.
- Targeted therapy: Some medicines work only on types of cancer that have certain characteristics. The doctor performs the necessary tests to see if you have a type of cancer that responds to these medicines.
Can it be prevented?
Women at high risk, who carry a mutation in their genes, can take a medicine to help prevent the disease.
If your family runs a strong tendency to develop this type of cancer, ask your doctor what you can do to prevent it.
Precancerous lesions are diagnosed in the gynecology clinic of the Dra. Gómez Roig Institute. Gynecological check-ups and preventive medicine help in the early diagnosis of gynecological cancers.
At the Barcelona Institute of Gynecology we advise you with the best specialists according to the type of cancer detected. Working collaboratively with cancer centers of excellence ensures good care.
Accompaniment, in difficult moments, is essential. Your physical and emotional well-being is important to everyone.
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- About the Author
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Head of the Obstetrics and Gynecology Service at the Sant Joan de Déu Hospital in Barcelona. Associate Professor of Obstetrics and Gynecology and Coordinator of the Sixth Course of Medicine at the University of Barcelona, UB. Director of the Dra. Gómez Roig Institute and Coordinator of Obstetric and Gynecological Processes at the Corachan Clinic in Barcelona.