Endometrial (Uterine) Cancer Treatment in India

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Endometrial (Uterine) Cancer Treatment in India

Endometrial cancer, also known as uterine cancer, arises from the inner lining of the uterus and is most common in women over 50. It is often detected early due to symptoms like abnormal bleeding, leading to high survival rates with timely treatment. India offers advanced gynecologic oncology care at a fraction of Western costs. Endometrial cancer treatment in India ranges between $3,500 and $8,500, including surgery, radiation, and medication, depending on the stage and hospital choice.

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What Is Endometrial Cancer?

Endometrial cancer is a malignancy that originates in the endometrium, the inner lining of the uterus. It is the most common gynecologic cancer in developed and developing countries. Most cases are diagnosed early due to postmenopausal bleeding, which leads women to seek medical attention.

How Is Endometrial Cancer Different from Other Uterine Cancers?

Unlike uterine sarcomas (which affect the muscle layer), endometrial cancer affects only the lining of the uterus. It differs from cervical cancer, which arises in the cervix, and has different causes, symptoms, and treatment protocols. Endometrial cancer is usually hormone-sensitive and grows slowly, making early treatment highly effective.

What Are the Types and Grades of Endometrial Cancer?

Types:

Type 1 (Endometrioid Adenocarcinoma)

  1. Hormone-dependent
  2. Most common and less aggressive

Type 2 (Serous or Clear Cell Carcinoma):

  1. More aggressive
  2. Hormone-independent

🔹Grades:

Grade 1: Well-differentiated, slow-growing

Grade 2: Moderately aggressive

Grade 3: Poorly differentiated, high-grade tumors

What Causes Endometrial Cancer and Who Is at Risk?

Several factors contribute to the development of endometrial cancer:

  1. Hormonal imbalance: Excess estrogen not balanced by progesterone
  2. Obesity and Diabetes: Increase estrogen levels and risk
  3. Age: Most cases occur after menopause (ages 50–70)
  4. Genetics: Conditions like Lynch syndrome
  5. Medications: Long-term use of Tamoxifen
  6. Family history of endometrial or colorectal cancer

What Are the Common Symptoms of Endometrial Cancer?

Symptoms usually present early and include:

  1. Abnormal vaginal bleeding (especially postmenopausal)
  2. Heavy or irregular periods
  3. Watery or blood-tinged discharge
  4. Pelvic pain or pressure
  5. Pain during intercourse

These symptoms should prompt immediate evaluation.

How Is Endometrial Cancer Diagnosed?

Diagnosis is a multi-step process that includes:

  1. Pelvic Examination: Checks for abnormalities in uterus or ovaries.
  2. Transvaginal Ultrasound (TVUS): Measures endometrial thickness.
  3. Endometrial Biopsy or D&C (Dilation & Curettage): Confirms diagnosis.
  4. MRI/CT Scan: Evaluates spread to lymph nodes or other organs.

How Is Endometrial Cancer Staged?

The FIGO staging system (I–IV) is used:

Stage I: Confined to the uterus

Stage II: Spread to cervix

Stage III: Spread to pelvic tissues or lymph nodes

Stage IV: Spread to bladder, bowel, or distant organs

Staging helps determine the treatment approach and prognosis.

What Are the Treatment Options for Endometrial Cancer in India?

1. Surgery

  1. Hysterectomy (removal of uterus) with or without ovaries and lymph nodes
  2. Can be performed through open, laparoscopic, or robotic methods

2. Radiation Therapy

  1. External Beam Radiation Therapy (EBRT)
  2. Brachytherapy (internal radiation)

3. Chemotherapy

  1. Drugs like Carboplatin and Paclitaxel
  2. Often used for advanced-stage or high-grade tumors

4. Hormonal Therapy

  1. Progestins or Aromatase Inhibitors
  2. Effective in hormone-receptor positive cancers or when surgery isn’t an option

5. Targeted Therapy and Immunotherapy

  1. For recurrent or metastatic cases
  2. Includes drugs targeting HER2/neu, PD-1, and other mutations

What Medical Devices Are Used During Treatment?

  1. Laparoscopic/Robotic Surgery Systems (e.g., Da Vinci)
  2. Radiation Therapy Machines (LINAC for EBRT, applicators for brachytherapy)
  3. Infusion Ports for administering chemotherapy
  4. Imaging Machines (TVUS, MRI, CT) for diagnosis and follow-up

What Medical Procedures Are Commonly Used?

  1. Minimally Invasive Hysterectomy
  2. Lymphadenectomy (removal of lymph nodes)
  3. Post-operative radiation planning
  4. Infusion-based chemotherapy cycles
  5. Hormone Receptor Testing to personalize hormonal treatment

Why Is Early Detection and Treatment Critical?

When detected in Stage I, the 5-year survival rate is over 95%. Early treatment:

  1. Prevents disease spread
  2. Reduces treatment intensity
  3. Offers better outcomes with less aggressive therapy
  4. Lowers physical and emotional toll on patients

What Are the Advantages of Modern Endometrial Cancer Care in India?

  1. Minimally invasive surgeries mean faster recovery and less pain
  2. Access to molecular testing helps personalize care
  3. Multidisciplinary teams ensure coordinated treatment (surgeons, oncologists, radiologists)
  4. Reduced costs and shorter wait times make care accessible

Why Choose India for Endometrial Cancer Treatment?

India offers:

  1. Top-tier cancer centers equipped with the latest technology
  2. Board-certified gynecologic oncologists
  3. Affordable treatment packages for international patients
  4. Visa and travel support, patient coordinators, and interpreters
  5. Access to global-standard treatments at 30–70% lower cost

Why Choose Dr. Ankur Bahl?

Dr. Ankur Bahl is one of India’s leading oncologists, known for:

  1. Specialized expertise in gynecologic cancers
  2. Leading multidisciplinary teams for uterine and ovarian cancers
  3. Compassionate, patient-first care approach
  4. Extensive experience with international patients from 40+ countries
  5. Strong outcomes in early-stage and complex cancer cases

What Is the Cost of Endometrial Cancer Treatment in India?

Treatment Component

Estimated Cost (USD)

Diagnostic Workup (Imaging, Biopsy)

$300 – $700

Hysterectomy Surgery

$2,000 – $4,500

Radiation Therapy (Complete)

$2,000 – $3,500

Chemotherapy (Per Cycle)

$300 – $600

Hormonal Therapy (per year)

$500 – $1,000

Total Treatment Cost

$3,500 – $8,500

India’s prices are significantly lower than the US/UK, where similar treatment may cost $25,000 to $50,000+.

What Happens After Treatment? Follow-Up and Survivorship Care

Post-treatment, patients require regular monitoring to ensure recurrence is not occurring:

  1. Pelvic exams every 3–6 months for the first two years
  2. Annual imaging or ultrasounds, as needed
  3. Blood tests if recurrence is suspected
  4. Supportive care to manage fatigue, menopause symptoms, or emotional well-being

What Is the Prognosis and Survival Rate for Endometrial Cancer?

  1. Early-stage (Stage I): 5-year survival over 95%
  2. Stage II–III: 60–80% survival with combined therapy
  3. Stage IV or recurrent: Survival depends on response to systemic therapies

Regular follow-up and lifestyle modifications help extend long-term survival.

Endometrial cancer, when detected early, is highly treatable with excellent survival rates. India offers high-quality, affordable care, especially for international patients seeking timely intervention. With expert oncologists like Dr. Ankur Bahl and advanced medical infrastructure, patients receive comprehensive, compassionate, and effective treatment tailored to their needs.

Contact today for a consultation, cost estimate, or a second opinion for uterine cancer care in India.

Frequently Asked Questions

Yes. When diagnosed in Stage I, endometrial cancer has an excellent prognosis. Many women are completely cured with surgery alone, and the 5-year survival rate exceeds 95%. Early intervention offers the best outcomes with fewer complications.

Not all patients require chemotherapy or radiation. If the cancer is low-grade and confined to the uterus, surgery may be sufficient. However, if the disease has spread to lymph nodes or is high-grade, your oncologist may recommend additional therapy for better long-term control.

In very early-stage, low-grade cases (especially in younger women), fertility-preserving treatment may be an option using hormonal therapy and regular monitoring instead of immediate surgery. This is only advised after a detailed risk-benefit discussion with your oncologist and fertility specialist.

Most patients undergoing a minimally invasive hysterectomy can return home within 3–5 days. Recovery usually takes 2–4 weeks. You may experience mild discomfort, fatigue, or hormonal changes, but modern pain management and support make recovery smooth and manageable.

Absolutely. India is home to internationally accredited hospitals with board-certified oncologists and surgeons. Facilities are equipped with the latest medical technologies and offer comprehensive support for international patients, including visa help, accommodation, and post-treatment follow-up.

Yes, in some early-stage or hormone-sensitive cases, especially when surgery is not suitable due to age or health conditions. Hormonal medications such as progestins can help control cancer growth. However, this approach requires careful monitoring and is not suitable for all patients.

Yes. Regular follow-up is critical to ensure that the cancer has not returned. This includes pelvic exams every 3–6 months, imaging if needed, and managing any side effects from treatment. Emotional support, nutrition counseling, and hormone replacement (if required) are also part of survivorship care.

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