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Article Category: Highlights

4 Common Questions About Gynecologic Cancer—Answered

Published on June 23, 2025

Last updated 10:13 AM July 07, 2025

A woman's healthcare provider consults with her, placing a comforting hand on her shoulder

The gynecologic oncologists at Wellstar care for women at all stages of life, treating a variety of conditions with compassion and offering advanced care options. Our team are experts in treating cancers such as uterine, ovarian, cervical, vaginal and vulvar cancers. Here, we answer common questions about gynecologic cancer care with the help of Dr. Rosa Miller Polan, a gynecologic oncologist at Wellstar Cobb Medical Center. 

What is a gynecologic oncologist?

Gynecologic oncologists are specialists trained in the multidisciplinary management of patients with cancers of the female reproductive tract. Trained originally in obstetrics and gynecology, gynecologic oncologists treat patients with complex benign gynecologic issues, as well as gynecologic cancer patients who may need surgery, chemotherapy, immunotherapy or a combination of different treatments. 

When should you seek care?

Gynecologic cancers have different warning signs. When a person experiences concerning symptoms, a physical exam, including a pelvic exam, should be performed. Cervical and vaginal cancer symptoms include abnormal vaginal discharge, vaginal bleeding and pain. The most common warning sign for uterine cancer is abnormal vaginal bleeding. In postmenopausal women, any bleeding or spotting is abnormal and should prompt an evaluation. 

Ovarian or fallopian tube cancer symptoms include bloating, constipation, pelvic or abdominal pain and difficulty eating or feeling full quickly. Vulvar cancer symptoms include itching, burning, discoloration, and new bumps or lumps on the skin outside of the vagina. 

Who is at risk for developing gynecologic cancer?

Women who smoke cigarettes are at elevated risk for cervical, vaginal and vulvar cancer development. People who are immunosuppressed and those who have tested positive for the human papillomavirus (HPV) are also at increased risk. Genetics can contribute to the development of uterine, ovarian or fallopian tube cancers and these types of cancers can run in families. Obesity and use of hormone replacement therapy can put women at risk for the development of uterine, ovarian and fallopian tube cancers. A history of infertility, endometriosis and pelvic radiation are also risk factors for developing gynecologic cancer. 

What services are available at Wellstar?

At Wellstar, gynecologic oncologists provide comprehensive care for patients with gynecologic cancers, including administering chemotherapy and performing surgeries when needed. As high-volume pelvic surgeons, gynecologic oncologists also care for patients who need elective and emergent complex benign gynecologic surgery.

For many patients, robotic-assisted surgery offers a minimally invasive approach with less associated blood loss, shorter hospital stays and fewer post-operative complications. Gynecologic oncologists are some of the top users of the innovative DaVinci 5 robotic surgery platform. Performing complex gynecologic cancer surgeries, minimally invasive or otherwise, requires the type of highly specialized and multidisciplinary teams that work at Wellstar—and an infrastructure of resources to ensure patients have access to best-in-class care in their own backyard.

Learn more about gynecologic oncology at Wellstar at wellstar.org/gyncancer. 

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Highlights

Helping Patients Screen for Colon Cancer Through ColoCare Connect

When caught early, colorectal cancer is much more treatable, yet many people face barriers that prevent them from getting screened. Through the ColoCare Connect Program, Wellstar is working to make preventive care more accessible for communities who need it most.

In 2024, Cobb & Douglas Public Health, with support from the Wellstar Foundation, provided funding to expand colon cancer screening across Cobb and Douglas counties with the launch of ColoCare Connect. The community-based program, led by Wellstar Center for Health Equity and the Community Health team, focuses on education, resources and supplying at-home screening tests with the help of trusted local clinics.

Meeting patients where they are

Instead of patients having to navigate additional appointments, ColoCare Connect partnered with community clinics that were already providing care. These included BWell Medical & Wellness Center, Someone Cares, Bethesda Community Clinic and The Rouse Foundation.

Our partners provided patients with fecal immunochemical tests (FIT kits) that allowed them to complete colorectal cancer screening at home. During the grant period alone, the program distributed 435 FIT kits.

A strong community partner: BWell Medical & Wellness Center

One example of ColoCareConnect’s impact is BWell Medical & Wellness Center, which distributed more than 100 FIT kits and continues to collaborate with Wellstar to help people get screened.

The clinic serves a diverse population that includes working families, the elderly, underserved residents and people living in assisted living or personal care homes.

“Our focus is on accessible, patient-centered care that emphasizes prevention and early intervention,” said Vivian Adu-Aboagye, director of BWell Medical & Wellness Center. “Many of our patients face barriers such as transportation challenges, time constraints or limited access to preventive services.”

The partnership stood out because it offered a practical and patient-friendly solution.

“Many patients delay colon cancer screening due to fear, cost concerns or scheduling challenges related to their colonoscopy,” she added. “The FIT kits provide a convenient option that fits naturally into routine primary care visits.”

Making screening part of everyday care

At BWell, team members speak with patients during their visits to determine if they need colorectal cancer screening. They provide education and distribute kits during appointments, then follow up about returning the kit.

Patients have said they appreciate the privacy and convenience of the kits. Many of them had previously avoided screening due to concerns about invasive procedures or difficulty taking time off work. By removing common barriers, like transportation challenges, scheduling conflicts and fear, patients who may have otherwise skipped their colon cancer screenings were able to get checked.

Building toward healthier communities

ColoCare Connect demonstrates the power of community partnerships in advancing health equity. By equipping trusted local clinics with resources and support, the program expanded access to life-saving screening.

As the program continues, partnerships like these help ensure that more individuals have the opportunity to participate in early detection and receive follow-up care when needed. This ultimately improves outcomes and strengthens community health across the region.

Connecting patients to ongoing support

Screening is an important first step, but access to information and support beyond the clinic is also critical. Community members can use Wellstar Find Help to locate colorectal cancer screening programs, patient navigation services and financial assistance resources available in their ZIP code. 

If your screening has an abnormal result, care teams can help coordinate next steps, answer questions about a colonoscopy and identify financial assistance options when needed. By pairing clinic-based screening with community-based support resources, Wellstar and its partners are working to ensure patients do not have to navigate the process alone.

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Highlights

How Wellstar’s Cardio-Oncology Program Protects Heart Health During Cancer Care

Cancer treatment can save lives—but for some people, it can also be hard on the heart.

Wellstar's Cardio-Oncology Program provides specialized care to address this risk. The program offers cancer-focused heart care that helps protect cardiovascular health before, during and after treatment.

Our cardio-oncology experts support people with cancer who have heart disease, are at high risk for heart problems or are receiving therapies that may affect heart function. By monitoring heart health and coordinating care, we help people receive the most appropriate cancer treatment while reducing the risk of heart complications.

Expertise in heart disease and cancer care

Researchers have identified a connection between cancer care and cardiovascular health, leading to the creation of cardio-oncology. At Wellstar, this specialized care is available in metro Atlanta and Augusta, expanding access for people across Georgia.

“Cardio-oncology exists because more people are surviving cancer and living long enough to face heart-related complications,” said Dr. Avirup Guha, a board-certified cardio-oncologist at Wellstar Georgia Cancer Center and the first designated fellow of the International Cardio-Oncology Society in Georgia. “For some patients, cancer treatments can damage their heart. For others, they may have existing cardiovascular disease that needs careful management during cancer care. That requires expertise beyond cardiology—knowing how to modify therapy without causing harm.”

Cardio-oncologists are cardiologists with advanced training in how cancer therapies affect the heart. They help guide treatment decisions and work closely with oncology teams to ensure patients receive safe, effective care.

“A lot of oncology treatments are very effective for cancer, but the heart can become an innocent bystander,” said Wellstar Cardio-Oncologist Dr. Nikolas Krishna, who also specializes in advanced heart failure and transplant cardiology. “We advocate for these patients so their oncology and cardiology teams work together for the best possible outcome.”

Coordinated, team-based care

Multidisciplinary collaboration is central to Wellstar Cardio-Oncology. Cardiologists, oncologists, nurse navigators and other specialists communicate directly to align care and support both cancer outcomes and heart health.

“Our program helps address complications before they happen and streamlines care so people aren’t going back and forth between specialists,” Dr. Guha said.

Wellstar Cardio-Oncology teams partner with patients and families to understand risks and create a personalized plan. This may include imaging, blood tests and ongoing monitoring to detect early signs of heart conditions during chemotherapy, hormone therapy or radiation.

Additionally, Wellstar Cardio-Oncology nurse navigators—registered nurses with advanced training—provide compassionate guidance throughout the care journey.

“Nurse navigation plays a key role in educating patients and making sure they .understand their care plan,” said Dr. Guha. “It’s all about communication.”

Who can benefit from cardio-oncology care

Cardio-oncology care supports people from diagnosis through survivorship, especially when treatments or existing conditions may affect heart health.

You may benefit from cardio-oncology services if you have cancer or were treated for cancer within the past five years and you:

  • Have heart failure or another existing heart condition
  • Are at high risk for heart disease
  • Have experienced cardiovascular complications after cancer treatment
  • Require chemotherapy that may be cardiotoxic or radiation therapy to the chest

Some cancer treatments can weaken the heart muscle or alter heart function, making monitoring and early intervention essential. Therapies known to affect the heart include anthracyclines, platinum-based chemotherapy, HER2-targeted therapies, tyrosine kinase inhibitors (TKIs), immune checkpoint inhibitors (ICIs) and fluoropyrimidines.

“Too often we see patients years after treatment when heart problems have already developed,” Dr. Krishna said. “By screening earlier and seeing patients upstream, we can prevent disease rather than treat it after it occurs.”

Support that extends into survivorship

When cancer treatment ends, Wellstar Cardio-Oncology teams continue monitoring heart health and providing preventive care tailored to each person’s history.

“Survivors may face accelerated cardiovascular risks years later,” said Dr. Krishna. “By continuing to screen and monitor, we can help catch any issues and protect their long-term health and quality of life.”

This ongoing care gives patients greater peace of mind as they navigate recovery.

“We want patients to know we are a layer of reassurance,” Dr. Krishna said. “They don’t have to worry about treatment hurting their heart—we are here to protect it so they can focus on healing.”

By combining advanced expertise, early monitoring and compassionate support, Wellstar’s Cardio-Oncology Program helps people face cancer with confidence.

Learn more about cardio-oncology services at Wellstar.

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Healthcare providers consult with their patient at bedside

Highlights

Advanced Cancer Care Has a Home at Wellstar North Fulton Medical Center

Wellstar North Fulton Cancer Center has added and expanded cutting-edge services that can shorten treatment times and make cancer recovery more convenient and less stressful. These services include:

  • CyberKnife, a non-invasive robotic system that focuses radiation treatment with precision
  • STAT Clinics, where specialists collaborate on one day to evaluate a patient and plan cancer treatment
  • Nurse navigators to guide patients to resources at Wellstar and in the community
  • Expanded inpatient capacity and distinctive surgical specialties

“We have 100% of what patients need,” said Dr. Laura Pearson, a breast surgeon at Wellstar North Fulton. “We’ve blossomed in so many ways to treat different cancer types and have more services to offer our patients in this community.”

CyberKnife targets hard-to-treat tumors

Wellstar North Fulton was the second Wellstar location to receive a CyberKnife system. CyberKnife precisely targets cancerous and non-cancerous tumors. This minimizes damage to healthy tissue around tumors.

CyberKnife allows radiation oncologists to deliver “very high doses of radiation at a very small target,” said Dr. Mark McLaughlin, a radiation oncologist. This type of precise treatment is called radiosurgery.

Patients treated with CyberKnife typically have shorter treatment spans. For example, breast cancer patients undergoing conventional radiation might have four to six weeks of treatment, five days a week. With CyberKnife, patients may complete their treatment in just five days.

According to Dr. McLaughlin, another CyberKnife advantage is the machine’s ability to deliver targeted treatment even when a patient moves.

“For example, if a patient has breast cancer, she’ll be breathing during treatment. She has to breathe, of course, but with breathing, the tumor volume or target volume is constantly changing. The CyberKnife allows us to track and move the machine (to target the tumor) in real time,” he said.

Providers collaborate to diagnose and begin treatment without delay

Wellstar North Fulton also has STAT Clinics, which stands for Specialty Teams and Treatments, for many types of cancer, including breast, head and neck, brain and spine, and lung.

Dr. Pearson described STAT Clinics as a “one-stop shop where patients meet all the people who will be part of the cancer team in one day: surgeons, radiation oncologists, medical oncologists, potentially plastic surgeons and genetics experts, if that’s appropriate.”

Patients and their families appreciate not making multiple trips or trying to piece together a treatment plan. They’re also comforted to see the communication among everyone involved in their care, she noted.

Cancer nurse navigators map the road to treatment and recovery

A cancer diagnosis can leave patients and their families feeling shocked, scared and unsure of where to turn. Nurse navigators help patients get their bearings by:

  • Answering questions about treatment and scheduling appointments
  • Connecting patients and families to community resources for transportation, nutrition, financial support and more
  • Helping with insurance questions
  • Providing emotional support during a difficult time

“These navigators are so approachable and warm,” Dr. Pearson said. “In the cancer program, we try to give patients points of contact and information. We never want them to feel like they’re out there on their own.”

Distinctive specialties and expanded inpatient capacity

Wellstar North Fulton has added beds for post-surgical cancer patients who need an overnight hospital stay. The medical center’s intensive care unit (ICU) is also tailored to care for cancer patients’ needs.

“For our more complicated cases, like colorectal or prostate patients, it allows us to make sure we have the space and the resources for them to get the care they need while they’re recovering,” Dr. Pearson said.

“Neurosurgery has expanded its footprint too. We not only treat brain tumors, but we also do a lot of vascular and neurovascular procedures,” Dr. McLaughlin said. “We’re doing some very high-tech things.”

Added Dr. Pearson: “I’m so proud of how we’ve brought this all to the North Fulton community. Patients don’t have to feel like they have to leave the area to get the expert care they need.”

Learn more about Wellstar North Fulton Cancer Center.

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