In uterine, ovarian and cervical cancers, surgery and chemoradiotherapy are standard; for recurrent cases, heavy ion therapy and photo-immunotherapy are advanced options evaluated in Japan.
Heavy ion therapy aims at local control in recurrent pelvic cases difficult to operate.
Photo-immunotherapy may be discussed in suitable superficial/regional cases.
Surgery is planned with minimally invasive techniques.
Fertility and quality-of-life topics are part of the treatment plan in gynecological cancers; they are discussed openly.