Patna: Financial constraints, inadequate infrastructure, shortage of training by specialists and delayed diagnosis remain delayed diagnosis remain major challenges in treating gynaecological cancers in Biharmajor challenges in treating gynaecological cancers in Bihar, experts said at a workshop titled ‘Evidence to excellence in gynaecologic oncology’, here on Saturday. They stressed the need to adopt newer technologies and strengthen training and cancer care infrastructure to improve treatment outcomes.The programme included a surgical workshop at a hospital and a scientific session, attended by cancer specialists from across the country.Surgical oncologist Dr Hemant B Tongonkar from Mumbai said lack of awareness and hesitation among women, particularly in rural areas, often resulted in delayed diagnosis. “Many patients reach cancer centres when the disease has already advanced or spread to other parts of the body,” he said.He said cancer surgery had evolved from open procedures to laparoscopic and now robotic surgery. Robotic technology allows complex procedures to be performed with greater precision and can help reduce recovery time, he said.The workshop featured live surgeries and presentations on robotic endometriosis and cytoreductive surgeries with HIPEC and radical hysterectomy for cervical cancer. Experts also discussed treatment approaches through panel discussions and video presentations.Dr V P Singh, chairperson of the CME and workshop organising committee, said financial constraints, inadequate infrastructure, specialist training and delayed diagnosis remained major challenges in Bihar. “Along with adopting new technologies, it is important to train specialists and paramedical staff and ensure timely diagnosis,” he said.POGS president Dr Pragya Chaudhary, secretary Dr Nibha Mohan, organising secretary Dr Akash Kumar Singh and joint secretary Dr Rahul Kumar Chaudhary were among those present at the workshop that was jointly organised by a private hospital and Society of Oncology Bihar and Patna Obstetric and Gynaecological Society (POGS).