
Tumors and cancers
Tumors and cancers — differences between benign and malignant tumors, diagnosis, and modern treatment methods in gynecology.
Tumors and cancers in gynecology
In gynecological practice, we distinguish between benign and malignant tumors. Tumor is a general term for any growth, while cancer refers to malignant tumors capable of spreading (metastasizing). Early diagnosis is crucial for successful treatment.
Most common benign tumors
- Uterine fibroids — the most common benign tumors in women, occurring in 20–40% of reproductive-age women
- Ovarian cysts — functional or organic, most resolve spontaneously
- Endometrial polyps — growths of the uterine lining that can cause bleeding
- Breast fibroadenomas — firm, mobile lumps in breast tissue
Malignant tumors — gynecological cancers
- Cervical cancer — linked to HPV infection, detected by PAP test and colposcopy
- Endometrial cancer (uterine body) — the most common gynecological malignancy, usually occurring after menopause
- Ovarian cancer — often discovered at advanced stages due to late symptoms
- Vulvar cancer — rare but requires early diagnosis
- Breast cancer — the most common malignancy in women, screening mammography from age 40
Diagnostic approach
- Colposcopy — magnified visualization of the cervix
- Biopsy — tissue sampling for histopathological analysis
- Ultrasound — assessment of tumor size and characteristics
- Tumor markers — CA-125, HE4, AFP in blood
- MRI/CT — staging and disease extent assessment
Prevention of malignant diseases
Regular gynecological exams, PAP tests, HPV vaccination, breast self-examination, and mammography are key to early detection and prevention. Discuss your individual screening plan with your gynecologist.

Written by
Dr Đorđe Petković
Consultant in Operative & Endoscopic Gynaecology · 17+ years of experience
Patients often ask
Tumor is a general term for any growth. Cancer refers to malignant tumors that can spread to surrounding tissues and organs (metastasis).
Irregular bleeding after menopause, abnormal vaginal bleeding, pelvic pain, weight loss, and bloating. Regular screenings are key as early stages often have no symptoms.
Regular PAP tests, HPV vaccination (ideally before first sexual contact), and colposcopy as recommended by your gynecologist.