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treatment of cervix cancer with intext referance

treatment of cervix cancer with intext referance

Solutions

Expert Solution

treatment of cancer cervix depends on the stage of the disease

FIGO staging of cancer cervix:

stage1: tumor confined to cervix only

1A:diagnosed only by microscopy, invasion <5mm depth and <7mm horizontal spread

1A1: invasion <3mm depth, <7mm horizontal spread

1A2: invasion 3-5 mm depth, <7mm horizontal spread

1B: clinically visible tumour, confined to cervix, invasion greater thanthat of 1A

1B1: < 4cm in greatest dimension

1B2: > 4cm in greatest dimension

stage 2: tumor invades beyond uterus but not to the pelvic wall or to the lower third of v agina

  2A: without parametrial involvement

2B: with parametrial invasion

stage 3: tumor involves lower third of v agina, extends to pelvic wall, causes hydronephros or non-functioning kidney

3A: tumor involves lower third of v agina

3B: tumor extends to pelvic wall or causing hydronephrosis

stage 4: tumor invades mucosa of the bladder or rectum or extends beyond true pelvis or distant metastasis

treatment of cancer cervix:

1A1: cone biopsy or trachelectomy or simple hysterectomy

1A2: radical hysterectomy, simple hysterectomy or trachelectomy+ pelvic lymph node dissection

1B, 2A: radical hysterectomy+ pelvic lymph node dissection+/- para aortic lymph node dissection or chemoradiotherapy

2B, 3, 4A: neo adjuvant chemotherapy followed by surgery or radiotherapy

4B: chemo radiotherapy


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