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| == FIGO classification ==
| | {{#lst:Cervical cancer|gyn2}} |
| {| class="wikitable" | |
| !Stage
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| !Description
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| |-
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| |0
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| |Carcinoma in situ
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| |-
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| |I
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| |Tumour strictly confined to the cervix
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| |-
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| |Ia1
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| |Stromal invasion < 3 mm in depth
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| |-
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| |Ia2
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| |Stromal invasion 3 – 5 mm in depth
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| |-
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| |Ib
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| |Stromal invasion > 5 mm in depth
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| |-
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| |II
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| |Tumour invades beyond the uterus, but not into the pelvic wall or lower third of the vagina
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| |-
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| |IIa
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| |Tumour does not invade parametrium, invades upper 2/3 part of vagina
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| |-
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| |IIb
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| |Tumour invades the parametrium, but not the pelvic wall
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| |-
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| |III
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| |Tumour invades pelvic wall or lower third of the vagina or causes hydronephrosis or pelvic lymph nodes or paraaortic lymph nodes
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| |-
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| |IVa
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| |Tumour invades adjacent organs in the pelvis
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| |-
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| |IVb
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| |Distant metastasis
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| |}
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| (I’ve excluded some of the substages for simplicity)
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| == Surgical treatment ==
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| Surgery is the mainstay of treatment of cervical cancer.
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| * Conisation or total/simple hysterectomy for stage Ia1
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| * Radical (Wertheim) hysterectomy up until and including stage IIa
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| Hysterectomy obviously takes away the woman’s fertility, but cervical cancer often affects women in their fertile age. A fertility-preserving surgical alternative to hysterectomy for cervical cancer is ''trachelectomy'' (see also topic B3).
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| Surgery is not the main treatment in stage IIb and beyond (i.e., when the parametrium is involved). However, it may be part of the adjuvant treatment.
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| == Chemotherapy and radiotherapy ==
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| For stages IIb to IVa radiochemotherapy is the main treatment. Treatment for stage IVb is palliative and is mostly chemotherapy. Radiochemotherapy may be used as adjuvant treatment after surgery.
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| The standard chemotherapy regimen is cisplatin-based. Chemotherapy is rarely used alone in the treatment of cervical cancer; it’s almost always combined with radiotherapy.
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| Radiotherapy may be used as primary therapy in early stages (I – IIa) in cases where surgery is not an option.
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| [[Category:Obstetrics and gynaecology 2]] | | [[Category:Obstetrics and gynaecology 2]] |