I would like to express my deepest appreciation to all those who have contributed to the successful completion of this research paper and its submission to Indian Journal of Gynecologic Oncology. First and foremost, I express my gratitude to my mentor, Dr. Rema P, Additional Professor and head, Department of Gynecological Oncology, Regional Cancer Centre, Trivandrum for her exceptional leadership, unwavering encouragement, and invaluable insights that have guided me throughout this research. I am grateful to Dr. Suchetha S, Additional Professor, Gynecological Oncology, and Dr. Siva Ranjith J, Associate Professor, Surgical Oncology, for their continuous support and guidance. I extend my sincere thanks to Dr. Lakshmi S, Additional Professor, Department of Cancer Research, whose selfless inputs were instrumental in making this study possible. I also acknowledge the significant contributions of Dr. Rari P. Mony, Assistant Professor, Department of Pathology, whose insights were crucial for the study. My appreciation also goes out to all consultants in the Division of Surgical Services, Department of Radiation Oncology, and Department of Medical Oncology at Regional Cancer Centre, Trivandrum, for their encouragement, guidance, and inspiration. Special thanks to Dr. Aleyamma Mathew and Dr. Jagathnath Krishna K M, Department of Biostatistics, for their assistance in the analysis of this study. I am also thankful to my seniors, batch-mates, and juniors for their cooperation and support. Lastly, I want to express my gratitude to my family members for their unwavering love, support, and sacrifices throughout my academic journey. And to the Lord Almighty, I am thankful for all the blessings bestowed upon me. I am truly indebted to each and every individual mentioned above for their contributions and support in the submission of this research paper to BJOG.