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Gynaecological oncology in Paris: cervix, endometrium, ovary

By Dr Olivier Kadoch, obstetrician-gynaecologist · Updated 25/10/2026

In brief

Treatment of a gynaecological cancer in Paris (gynaecological oncology: cervix, endometrium, ovary) is based on a complete staging work-up and a joint decision at a multidisciplinary team meeting (in France, "RCP"). Surgery is performed at Clinique Ambroise Paré (Neuilly-sur-Seine). Surgery is part of a personalised care plan drawn up with the oncologist, the radiotherapist and the pathologist.

The three main sites

CancerWarning signTestsRole of surgery
CervixBleeding after sex, abnormal smear or HPV testColposcopy, biopsies, MRICone biopsy (conisation) for precancerous lesions; surgery for early stages
EndometriumBleeding after the menopauseUltrasound, biopsy, MRI, molecular profilingHysterectomy, removal of the ovaries and fallopian tubes, sentinel lymph node
OvaryPersistent bloating, swelling of the abdomen, a massUltrasound, MRI, CT scan, tumour markersComplete surgery in a specialist centre

Your gynaecological cancer care pathway in Paris

  1. 1Diagnosis disclosure. A dedicated consultation to explain the diagnosis, written information, and access to supportive care.
  2. 2Joint decision. Your case is presented at the multidisciplinary team meeting; you receive a personalised care plan.
  3. 3Treatment. Surgery at the Clinique Ambroise Paré (Neuilly-sur-Seine), combined if needed with radiotherapy or medical treatment.
  4. 4Follow-up. Monitoring coordinated with the oncology team and your GP.

Cervical cancer screening

  • In France, from 25 to 29: a cervical smear (cytology), the first two one year apart, then every 3 years if normal
  • In France, from 30 to 65: an HPV test 3 years after the last normal smear, then every 5 years as long as it is negative
  • In France, HPV vaccination is recommended for girls and boys aged 11 to 14 (2 doses 5 to 13 months apart), with catch-up vaccination for everyone up to and including age 26 (3 doses from age 15)

Frequently asked questions

What is a multidisciplinary team meeting (RCP)?

A meeting where surgeons, oncologists, radiotherapists, radiologists and pathologists decide together on the right treatment for each patient.

Is bleeding after the menopause always serious?

No, but it should always be investigated promptly with an ultrasound and, if needed, an endometrial biopsy.

Can fertility be preserved?

For some early-stage cancers, fertility-sparing treatment is possible. This is discussed at a multidisciplinary tumour board (RCP) before any treatment, together with an oncofertility consultation.

Does HPV vaccination protect against cervical cancer?

It prevents the vast majority of infections with the HPV types that cause cervical cancer. Screening is still needed for vaccinated women.

How long will I stay in hospital after surgery for a gynaecological cancer?

It depends on the treatment decided at the RCP. As a rough guide, for a laparoscopic hysterectomy the stay is usually 2 to 4 days with about a month off work; for open surgery (laparotomy), 3 to 6 days and 4 to 8 weeks. Surgery is performed under general anaesthetic; you are given a written estimate beforehand and instructions are adapted to each patient.

References

Haute Autorité de santé (French National Authority for Health). Évaluation de la recherche des papillomavirus humains (HPV) en dépistage primaire des lésions précancéreuses et cancéreuses du col de l'utérus. Synthèse et recommandations. HAS, 2019. has-sante.fr

Haute Autorité de santé (French National Authority for Health). Papillomavirus (HPV) : le rattrapage vaccinal recommandé chez les femmes et les hommes jusqu'à 26 ans révolus. HAS, 2025. has-sante.fr

Concin N, et al. ESGO-ESTRO-ESP guidelines for the management of patients with endometrial carcinoma: update 2025. Lancet Oncol, 2025. doi:10.1016/S1470-2045(25)00167-6 — PMID 40744042

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