The cervical cancer treatment depends on various factors including the type of cervical cancer, stage of the disease, age and performance status of the patient, and on the patient’s preference (to retain fertility or not).
Following are the preferred treatment approach for different stages of cervical cancer, but the final decision is taken after clinical assessment of the patient by an oncologist.
|0||Stage 0 cervical cancer can be treated by removal of the pre-cancerous lesion with the help of LEEP or cold knife technique as the preferred treatment option. Total hysterectomy (surgical removal of the uterus) is the standard treatment for women with cervical adenocarcinoma in situ and post-reproductive.|
|I||In case of Stage I cervical cancer, hysterectomy is generally preferred in most of the cases. However, if patient wants to retain fertility and in early stage of disease, radical trachelectomy may be done. Radiotherapy with/without chemotherapy may be used in some cases.|
|II||In case of Stage II cervical cancer, concurrent chemoradiotherapy is done in most of the cases. However in early stage disease, hysterectomy may be done, which may/may not be followed by chemoradiotherapy.|
|III||In case of Stage III cervical cancer, concurrent chemo radiotherapy is considered in most of the cases.|
|IV||In case of Stage IV cervical cancer, chemotherapy with/without radiotherapy may be considered depending upon the extent of disease.|
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Following is the brief description of various treatment types employed for cervical cancer:
It is very important to assess the benefits of each treatment option versus the possible risks and side effects before making a treatment decision. Sometimes patient’s choice and health condition are also important to make a treatment choice.
Following are ultimate goals of treating cervical cancer:
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