 | | | | | Cervical Cancer More info on this condition | |
| | | Treatment by Stage | | | | | The stage of cancer will determine the treatment options that are available to patients.
Stage 0, carcinoma in situ
- Conization
- Laser surgery
- Loop electrosurgical excision procedure (LEEP)
- Surgery to remove the cancerous area, cervix and uterus (total abdominal or vaginal hysterectomy) for those women who cannot or no longer want to have children.
Stage IA
- Surgery to remove the cancer, uterus and cervix (total abdominal hysterectomy). The ovaries may also be taken out (bilateral salpingo-oophorectomy), but are usually not removed in younger women.
- Conization for minimally invasive cancers.
- For tumors with deeper invasion (3-5 millimeters): Surgery to remove the cancer, the uterus and cervix and part of the vagina (radical hysterectomy) along with the lymph nodes in the pelvic area (lymph node dissection).
- Internal radiation therapy
Stage IB
- Internal and external radiation therapy combined.
- Radical hysterectomy and lymph node dissection with or without radiation therapy.
Stage IIA
- Treatment may be one of the following:
- Internal and external radiation therapy combined.
- Radical hysterectomy and lymph node dissection followed by radiation therapy.
Stage IIB
- Internal and external radiation therapy combined. Usually given in conjunction with cisplatin.
Stage III
- Internal and external radiation therapy combined. Usually given in conjunction with cisplatin.
Stage IVA
- Internal and external radiation therapy combined. Usually given in conjunction with cisplatin.
Stage IVB
- Radiation therapy to relieve symptoms such as pain.
- Chemotherapy.
Recurrent cancer in the pelvis
- Surgery to remove the lower colon, rectum or bladder (depending on where the cancer has spread) along with the cervix, uterus and vagina (exenteration).
- Radiation therapy and chemotherapy.
Recurrent cancer outside of the pelvis
- Clinical trial of systemic chemotherapy.
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