Cervical cancer diagnostic study of choice: Difference between revisions

Jump to navigation Jump to search
m (Bot: Removing from Primary care)
 
(5 intermediate revisions by 3 users not shown)
Line 1: Line 1:
__NOTOC__
__NOTOC__
{{Cervical cancer}}
{{Cervical cancer}}
{{CMG}}{{AE}}{{Nnasiri}}{{MD}}
{{CMG}}; {{AE}} {{Nnasiri}}, {{MD}}
   
   
==Overview==  
==Overview==  
Cervical cancer is staged by the [[International Federation of Gynecology and Obstetrics]] (FIGO) staging system, which is based on clinical examination, cost effective imaging studies and gynecologyocal procedures such as [[hysteroscopy]] and [[cystoscopy]], this is important to detect [[survival rate]]<nowiki/>s in women with cervical cancer. The advantage of newly revised 2018 [[FIGO]] is that it can be used in lower income countries as well since expensive surgical procedures are avoided in this staging sysytem.
Cervical cancer is staged by the [[International Federation of Gynecology and Obstetrics]] (FIGO) staging system, which is based on clinical examination, cost effective imaging studies and gynecologyocal procedures such as [[hysteroscopy]] and [[cystoscopy]], this is important to detect [[survival rate]]<nowiki/>s in women with cervical cancer. The advantage of newly revised 2018 [[FIGO]] is that it can be used in lower income countries as well since expensive surgical procedures are avoided in this staging sysytem.
==Staging==
==Staging==
===FIGO Stage Groupings and Definitions===
===FIGO Stage Groupings and Definitions===
The revised 2018 [[FIGO]] staging system for cervical cancer is useful to distinguish survival groups based on their distinct charracteristics and outcome.<ref name="FreemanAly2012">{{cite journal|last1=Freeman|first1=Susan J.|last2=Aly|first2=Ahmed M.|last3=Kataoka|first3=Masako Y.|last4=Addley|first4=Helen C.|last5=Reinhold|first5=Caroline|last6=Sala|first6=Evis|title=The Revised FIGO Staging System for Uterine Malignancies: Implications for MR Imaging|journal=RadioGraphics|volume=32|issue=6|year=2012|pages=1805–1827|issn=0271-5333|doi=10.1148/rg.326125519}}</ref><ref>http://www.cancer.gov/types/cervical/hp/cervical-treatment-pdq#section/_11</ref>
The revised 2018 [[FIGO]] staging system for cervical cancer is useful to distinguish survival groups based on their distinct charracteristics and outcome.<ref name="FreemanAly2012">{{cite journal|last1=Freeman|first1=Susan J.|last2=Aly|first2=Ahmed M.|last3=Kataoka|first3=Masako Y.|last4=Addley|first4=Helen C.|last5=Reinhold|first5=Caroline|last6=Sala|first6=Evis|title=The Revised FIGO Staging System for Uterine Malignancies: Implications for MR Imaging|journal=RadioGraphics|volume=32|issue=6|year=2012|pages=1805–1827|issn=0271-5333|doi=10.1148/rg.326125519}}</ref><ref>http://www.cancer.gov/types/cervical/hp/cervical-treatment-pdq#section/_11</ref>
 
====Stage I- The carcinoma is strictly confined to the [[cervix]] (extension to the [[uterine corpus]] should be disregarded)====
 
====Stage I- The carcinoma is strictly confined to the cervix (extension to the uterine corpus should be disregarded)====
*IA -Invasive cancer identified only microscopically. (All gross lesions even with superficial invasion are Stage IB cancers.) Invasion is limited to measured stromal invasion with a maximum depth of 5 mmband no wider than 7 mm
*IA -Invasive cancer identified only microscopically. (All gross lesions even with superficial invasion are Stage IB cancers.) Invasion is limited to measured stromal invasion with a maximum depth of 5 mmband no wider than 7 mm
:*IA1 - Measured invasion of [[stroma]] ≤3.0 mm in depth and ≤7.0 mm width
:*IA1 - Measured invasion of [[stroma]] ≤3.0 mm in depth and ≤7.0 mm width
Line 21: Line 17:
:*IB2 - Clinical lesions >4 cm in size
:*IB2 - Clinical lesions >4 cm in size


====Stage II -The carcinoma extends beyond the uterus but not extended onto the pelvic wall or to the lower third of the vagina.====
====Stage II -The carcinoma extends beyond the [[uterus]] but not extended onto the [[pelvic]] wall or to the lower third of the vagina.====
*IIA- Involvement of up to the upper 2/3 of the vagina. No obvious parametrial involvement
*IIA- Involvement of up to the upper 2/3 of the vagina. No obvious parametrial involvement
:*IIA1 - Clinically visible lesion ≤4.0 cm
:*IIA1 - Clinically visible lesion ≤4.0 cm
Line 27: Line 23:
*IIB - Obvious parametrial involvement but not onto the [[pelvic sidewall]]
*IIB - Obvious parametrial involvement but not onto the [[pelvic sidewall]]


====Stage III - The carcinoma has extended onto the pelvic sidewall. On rectal examination, there is no cancer-free space between the tumor and [[pelvic]] sidewall. The tumor involves the lower third of the vagina. All cases of [[hydronephrosis]] or nonfunctioning [[kidney]] should be included unless they are known to be due to other causes====
====Stage III - The carcinoma has extended onto the [[pelvic]] sidewall. On [[rectal]] examination, there is no cancer-free space between the tumor and [[pelvic]] sidewall. The [[tumor]] involves the lower third of the vagina. All cases of [[hydronephrosis]] or nonfunctioning [[kidney]] should be included unless they are known to be due to other causes====
*IIIA - Involvement of the lower vagina but no extension onto [[pelvic]] sidewall
*IIIA - Involvement of the lower [[vagina]] but no extension onto [[pelvic]] sidewall
*IIIB - Extension onto the [[pelvic]] sidewall, or [[hydronephrosis]]/non-functioning [[kidney]]
*IIIB - Extension onto the [[pelvic]] sidewall, or [[hydronephrosis]]/non-functioning [[kidney]]


Line 37: Line 33:
==References==
==References==
{{reflist|2}}
{{reflist|2}}
{{WH}}
{{WS}}


[[Category:Disease]]
[[Category:Disease]]
[[Category:Gynecology]]
[[Category:Gynecology]]
[[Category:Types of cancer]]
[[Category:Types of cancer]]
[[Category:primary care]]
[[Category:Up-To-Date]]
 
{{WH}}
{{WS}}
[[Category:Up-To-Date]]
[[Category:Oncology]]
[[Category:Oncology]]
[[Category:Medicine]]
[[Category:Medicine]]
[[Category:Gynecology]]

Latest revision as of 20:51, 29 July 2020

Cervical cancer Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Cervical Cancer from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Chest X Ray

CT

MRI

Ultrasound

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Cervical Cancer During Pregnancy

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Cervical cancer diagnostic study of choice On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Cervical cancer diagnostic study of choice

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Cervical cancer diagnostic study of choice

CDC on Cervical cancer diagnostic study of choice

Cervical cancer diagnostic study of choice in the news

Blogs on Cervical cancer diagnostic study of choice

Directions to Hospitals Treating Cervical cancer

Risk calculators and risk factors for Cervical cancer diagnostic study of choice

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Nima Nasiri, M.D.[2], Monalisa Dmello, M.B,B.S., M.D. [3]

Overview

Cervical cancer is staged by the International Federation of Gynecology and Obstetrics (FIGO) staging system, which is based on clinical examination, cost effective imaging studies and gynecologyocal procedures such as hysteroscopy and cystoscopy, this is important to detect survival rates in women with cervical cancer. The advantage of newly revised 2018 FIGO is that it can be used in lower income countries as well since expensive surgical procedures are avoided in this staging sysytem.

Staging

FIGO Stage Groupings and Definitions

The revised 2018 FIGO staging system for cervical cancer is useful to distinguish survival groups based on their distinct charracteristics and outcome.[1][2]

Stage I- The carcinoma is strictly confined to the cervix (extension to the uterine corpus should be disregarded)

  • IA -Invasive cancer identified only microscopically. (All gross lesions even with superficial invasion are Stage IB cancers.) Invasion is limited to measured stromal invasion with a maximum depth of 5 mmband no wider than 7 mm
  • IA1 - Measured invasion of stroma ≤3.0 mm in depth and ≤7.0 mm width
  • IA2 - Measured invasion of stroma >3.0 mm and < 5.0 mm in depth and ≤ 7 mm width
  • IB - Clinical lesions confined to the cervix or preclinical lesions greater than stage IA
  • IB1 - Clinical lesions no greater than 4 cm in size
  • IB2 - Clinical lesions >4 cm in size

Stage II -The carcinoma extends beyond the uterus but not extended onto the pelvic wall or to the lower third of the vagina.

  • IIA- Involvement of up to the upper 2/3 of the vagina. No obvious parametrial involvement
  • IIA1 - Clinically visible lesion ≤4.0 cm
  • IIA2 - Clinically visible lesion >4.0 cm

Stage III - The carcinoma has extended onto the pelvic sidewall. On rectal examination, there is no cancer-free space between the tumor and pelvic sidewall. The tumor involves the lower third of the vagina. All cases of hydronephrosis or nonfunctioning kidney should be included unless they are known to be due to other causes

Stage IV The carcinoma has extended beyond the true pelvis or has clinically involved the mucosa of the bladder and/or rectum

  • IVA - Spread to adjacent pelvic organs
  • IVB - Spread to distant organs

References

  1. Freeman, Susan J.; Aly, Ahmed M.; Kataoka, Masako Y.; Addley, Helen C.; Reinhold, Caroline; Sala, Evis (2012). "The Revised FIGO Staging System for Uterine Malignancies: Implications for MR Imaging". RadioGraphics. 32 (6): 1805–1827. doi:10.1148/rg.326125519. ISSN 0271-5333.
  2. http://www.cancer.gov/types/cervical/hp/cervical-treatment-pdq#section/_11

Template:WH Template:WS