Cervical cancer medical therapy

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Medical Therapy

Women with cervical cancer have many treatment options. The options are surgery, radiation therapy, chemotherapy, or a combination of methods. The choice of treatment depends mainly on the size of the tumor and whether the cancer has spread. The treatment choice may also depend on whether you would like to become pregnant someday.

• Standard Treatment Options for cervical cancer

• In situ carcinoma of the cervix (this stage is not recognized by FIGO)

• Conization
• Hysterectomy for postreproductive patients
• Internal radiation therapy for medically inoperable patients

• Stage IA cervical cancer

• Conization
• Total hysterectomy
• Modified radical hysterectomy with lymphadenectomy
• Radical trachelectomy
• Intracavitary radiation therapy
• Radiation therapy with concomitant chemotherapy

• Stages IB, IIA cervical cancer

• Radiation therapy with concomitant chemotherapy
• Radical hysterectomy and bilateral pelvic lymphadenectomy with or without total pelvic radiation therapy plus chemotherapy
• Radical trachelectomy
• Neoadjuvant chemotherapy
• Radiation therapy alone
• Intensity Modulated Radiation Therapy (IMRT)

• Stages IIB, III, and IVA cervical cancer

• Radiation therapy with concomitant chemotherapy
• Neoadjuvant chemotherapy
• Interstitial brachytherapy
• Stage IVB cervical cancer
• Palliative radiation therapy