IGCS Member since 2017
Initially, I was working as general gynaecologist in medical college as Associate Professor. In the whole country, Nepal only has a few gynaecologic oncologists who work in women's cancer care. Thus, women with gynaecological cancer are still having sub-optimal surgery in most places. Those who can afford it, travel abroad for cancer treatment. Even in an urban city where facilities are available, lots of women are unaware of screening - in remote villages these facilities are not available at all.
I found that unlike other cancers, gynaecological cancer has good survival rate if detected early and treated properly. This is why I choose this field.
I am a full time faculty member in the gynaecologic oncology unit in the Nepal Cancer Hospital. I perform radical hysterectomies, pelvic and paraaortic lyphadenectomies, staging laparotomies with cytoreductive surgery and radical vulvectomies.
Cervical cancer is the first leading cancer among Nepalese women. This is mainly due to lack of knowledge. Currently, I am giving cancer awareness classes regarding cervical cancer screening, the HPV vaccine for high school students, nursing students and different communities within the general population.
I have developed a PAP smear provider course for nurses and trained 30 nurses from our hospital and certified them.
We are conducting free cervical PAP smears and clinical breast examinations in different rural communities of our country. So far, more than five thousand women have been screened. This project was done by the Nepal Cancer Support Group in technical collaboration with the Nepal Cancer Hospital and funded by Direct Relief. More than 80% of women are having a Pap smear for the first time. Three cases of CIN III, one carcinoma of the cervix and one carcinoma of the breast were detected in this camp for whom definite treatment was given, free of cost. All of these camps were conducted with the help of our certified pap smear provider nurses and doctors of our hospital.