Northwestern Medicine

Gynecologic Oncology at Northwestern Medicine Regional Medical Group

Team Approach to Gynecologic Cancer Care

The gynecologic oncology team at the Northwestern Medicine Cancer Center Warrenville and the Northwestern Medicine Cancer Center Delnor specializes in treating women with gynecologic cancer. We provide access to state-of-the-art treatment options and advanced surgical techniques — including minimally invasive and the latest da Vinci® robotic-assisted surgery, intraperitoneal chemotherapy and clinical trials. Your care is provided in a welcoming and compassionate environment where a team of specialists work together to develop and deliver the very best care for you.

In addition to two fellowship-trained gynecologic oncologists, the team includes advanced practice providers and nurses with specialized training in gynecologic oncology and a comprehensive support team devoted to treating female cancers. While our physicians perform surgery and manage your chemotherapy, the gynecologic oncology team also collaborates with radiation oncologists, surgical oncologists, palliative medicine physicians, specialized pathologists, genetic counselors and other providers who have special expertise in treating gynecologic cancers.

Our highly skilled team* includes:

  • Specialized doctors*
  • Advanced Practice Nurses (APNs)
  • Physician Assistants (PAs)
  • Social workers and counselors
  • Registered Nurses (RNs)
  • Dietitians*
  • Financial counselor
  • Survivorship navigator
  • Clinical research coordinator
  • Lymphedema therapists
  • Genetic counselor
  •  

    *In the spirit of keeping you well-informed, some of the physician(s) and/or individual(s) identified, are neither agents nor employees of Northwestern Memorial HealthCare or any of its affiliates. They have selected our facilities as places where they want to treat and care for their private patients.

    Specialized Treatment

    Our capabilities cover all stages and types of gynecologic cancers, including:

    • Ovarian
    • Uterine
    • Cervical
    • Vaginal
  • Primary peritoneal
  • Vulvar
  • Fallopian tube
  • Sarcomas of the gynecologic organs
  •  

    Each new cancer case is reviewed in our Multidisciplinary Gynecologic Oncology Tumor Board and a personalized care plan will be developed for you.

    Advanced Practice Providers To Guide You

    To us, one of the most important goals is to reduce anxiety and stress associated with cancer treatment and to support your overall well-being. Each patient will meet with a specialized advanced practice nurse or physician assistant who will help guide you and your family through diagnosis, treatment and follow-up care.

    This provider works closely with your doctors to coordinate your care, answer questions and connect you to beneficial support services. Throughout your care, this team member will be your advocate by providing emotional support and education about your diagnosis and care plan, from diagnosis to survivorship.

    Gynecologic Cancer Screening and Diagnosis

    Regular visits to your gynecologist or primary care provider can help identify early signs of gynecologic cancer. During a pelvic exam, your doctor will look for masses and irregularities on the cervix, uterus, ovaries, vagina and vulva. A Pap test will check for the presence of cancer cells on the cervix.

    If cancer is suspected, your doctor may order the following diagnostic imaging tests and refer you to our team for a consultation/opinion on management options:

    • Ultrasound of the pelvis to assess the gynecologic organs
    • CT scan or MRI to better characterize your condition and look at other body parts
    • PET scan to determine if certain cancers have spread to other parts of the body
    • Colposcopy – viewing the cervix and vagina with a lighted magnifying lens
    • Dilation and curettage (D&C) – dilating the cervix so abnormal tissue can be removed from the cervical canal and uterine lining
    • Loop electrosurgical excision procedure (LEEP) – using a heated wire loop to remove abnormal cells and tissue from the cervix
    • Biopsy - taking a small sample of abnormal tissue for a pathologist to review under the microscope
    • Diagnostic laparoscopy – surgical procedure in which a thin, lighted tube with a camera is inserted through a small incision in the abdomen for the surgeon to directly see organs. Other small incisions can be made for the surgeon to obtain tissue biopsies or remove smaller masses or organs.
    • CA-125, HE4 or OVA 1 blood tests along with other “tumor markers”
    • Our Colposcopy Clinic is a specialized clinic for women with pre-cancerous cells of the cervix, vulva, vagina and uterus that offers counseling, long term monitoring and treatment for these conditions.

    Gynecologic Cancer Treatments

    Northwestern Medicine offers advanced technology coupled with compassionate care designed just for women. Your gynecologic cancer treatment will depend on your overall health, extent of the disease and your tolerance for various therapies. Treatment options may include:

    • Surgery — the primary treatment for gynecologic cancer is often surgical removal of the tumor, the affected organ as well as the nearby lymph nodes. Our specially trained gynecologic oncologists will often use the da Vinci® Surgical System for robotic-assisted removal of tumors with greater precision, faster healing and less pain. However, more extensive surgeries may also be necessary. Our team specializes in radical cancer surgery such as tumor debulking as well as the complex after care such operations require.
    • Radiation therapy — external beam therapy sends high levels of radiation directly to the cancer cells. With internal radiation, sometimes called brachytherapy, small radioactive seeds or capsules are implanted directly in the tumor. This allows for a higher dose of radiation for a shorter course of treatment. This type of treatment is given by specialized radiation oncologists in close collaboration with your gynecologic oncology team.
    • Chemotherapy — drugs may be administered, either through an IV line or as a pill, to interfere with the cancer cell’s ability to reproduce. Certain types of chemotherapy are given directly into the abdomen (intraperitoneal). Your experienced gynecologic oncologist will determine the best combination of medications and how to give them for your stage and type of cancer.
    • Hormone therapy — your doctor may ask you to take a hormone receptor test to determine if the hormones in your body are causing your cancer cells to grow. If so, hormone therapy may help prevent the growth, spread and recurrence of gynecologic cancer.
    • Intraperitoneal chemotherapy — part of the chemotherapy for ovarian, fallopian tube or primary peritoneal cancer can be administered directly into the abdominal cavity. This approach has significantly improved long-term survival for appropriate patients.
    • Clinical trials — You can participate in an array of clinical trials, most of which focus on new treatment options for gynecologic cancer. Our dedicated staff can help determine if you are eligible for a trial. Any treatment given as part of a clinical trial continues to be given and supervised by your treating gynecologic oncologist.
    • Palliative Care — Your team collaborates closely with palliative medicine providers who are experts at treating any bothersome side effects of cancer treatment. These providers can also manage symptoms caused by the cancer itself and focus on optimizing your quality of life.
    • Survivorship — once you have completed treatment for your cancer, we have a specialized program that helps you transition from active treatment to surveillance and follow up. Our advanced practice provider will educate and support you in restoring optimal health to your body and mind, learning to cope with fear of recurrence and recognize signs of symptoms of cancer returning. We will focus on healing from persistent treatment-related side effects, guidelines for a healthy life style, and discussing issues of intimacy and sexual health after cancer treatment.

    Clinical Trials

    Find out if there is a clinical trial for your type of gynecologic cancer currently enrolling patients through Northwestern Medicine Central DuPage Hospital or Northwestern Medicine Delnor Hospital. Your doctor and our research team can tell you if you are eligible and answer any questions you may have. See the cancer clinical trials list.

    Learn more about the benefits and guidelines for participating in a clinical trial from the National Cancer Institute**.

    Know what questions to ask** when evaluating a clinical study at ClinicalTrials.gov**, a service of the U.S. National Institutes of Health.

    **By clicking on these websites, you are leaving the Northwestern Medicine website. These websites are independent resources. Northwestern Medicine does not operate or control the content of these websites.

    Genetic Testing for Gynecologic Cancer

    Certain kinds of cancer run in families and are related to an inherited genetic abnormality. If you or your family members have had cancer before age 50 or two or more incidences of different types of cancer, or if you have had several family members diagnosed with cancer, you may want to consider genetic services. Our team can help you determine if you might be at risk and if genetic testing would be appropriate for you.

    If you have family members who have had colorectal or endometrial cancer, learn more about Lynch syndrome testing. If you have family members with breast or ovarian cancer, you may be interested in BRCA mutation testing. This is just to mention a few inherited conditions that can increase a woman’s risk for developing various types of cancer.

    Our Gynecologic Oncologists offer consultations and follow up for women with a genetic mutation that increases their lifetime risk for developing gynecologic cancer. Our team manages gynecologic cancer screening and surveillance and offers risk-reducing surgery if indicated.

    Support Services for Gynecologic Cancer

    If you are battling gynecologic cancer, LivingWell Cancer Resource Center, part of Northwestern Medicine, can be a vital component of your treatment and recovery. LivingWell serves as a gathering place providing comfort and community to anyone experiencing the effects of cancer. The LivingWell staff works to ensure that you and your family feel less isolated, better informed, more hopeful and empowered to take on the challenge of facing cancer.

    LivingWell services include more than 75 free-of-charge programs including educational classes, support and networking groups, exercise classes, counseling, nutrition classes and stress reduction classes. For more information or a schedule of events, contact the staff at info@livingwellcrc.org or 630.262.1111. Counselors from LivingWell also bring their services to the Northwestern Medicine Cancer Center Warrenville and Northwestern Medicine Cancer Center Delnor.

    The American Cancer Society’s Wig Boutique at LivingWell lets you select a brand new wig, hat and scarf at no cost while you are undergoing cancer treatment. An experienced American Cancer Society volunteer will help you select and properly fit the wig.

    Our Team

    Barbara Buttin, MD, and LaToya Perry, MD, meet regularly with pathologists and radiation oncologists to review all cases, examine treatment options and develop coordinated and customized care plans. Both physicians specialize in advanced gynecologic surgery and da Vinci® robotic surgery for patients seeking minimally invasive surgical options for their gynecologic oncology care. For most patients, the surgical precision of the da Vinci® Surgical System allows surgeons to achieve results with far less trauma to your body. That means that you can heal faster and return to your life much sooner.

    Barbara Buttin MD Gynecologic Oncologist Northwestern Medicine
    Dr. Buttin
    LaToya Perry
    Dr. Perry

    Make An Appointment

    Appointments are available through referral by your primary care physician. Call us at 630.933.4950 for more information about appointments. TTY for the hearing impaired 630.933.4833.

    Additional Resources