When are surgical procedures indicated?
Indicated for early-stage cancer (FIGO stages IA1, IA2, IB1, IB2, IIA)
Diagnostic excision procedures (table).
Surgical procedures (table).
Desribe chemotherapy.
Evidence on which chemotherapeutic regimen is the most effective remains a matter of debate. However, the current standard of treatment is cisplatin-based chemotherapy.
In the treatment of cervical cancer, chemotherapy is typically used concomitantly with radiotherapy.
Describe radiotherapy.
Can be used as primary therapy, in conjunction with chemotherapy, or as adjuvant therapy post cervical cancer surgery.
Types of radiotherapy used: intracavitary and external beam therapy
Indications
Early-stage disease (IA, IB1, IB2, IIA1) in patients for whom surgery is not an option
In stages IB2 and IIA1: can be used as primary treatment
Describe the concurrent chemoradiation.
Administration of chemotherapy and radiotherapy in one session
Indications: standard treatment for locally advanced-stage cancer (stages IB3, II, III, IVA)
Preferred treatment option in stages IB3 and IIA2
Stage IVA or recurrence
Treatment according to FIGO stage (table).
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