Table 5. Treatment Options for Cervical Cancer

Stage (FIGO Staging Criteria)Treatment Options
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
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
Radiation therapy alone
Neoadjuvant chemotherapy (under clinical evaluation)
Intensity-modulated radiation therapy (IMRT) (under clinical evaluation)
Stages IIB, III, and IVA cervical cancer Radiation therapy with concomitant chemotherapy
Interstitial brachytherapy
Neoadjuvant chemotherapy
Stage IVB cervical cancer Palliative radiation therapy
Palliative chemotherapy and other systemic therapy
Phase I and phase II clinical trials of new anticancer drugs
Recurrent cervical cancer Immunotherapy
Radiation therapy and chemotherapy
Palliative chemotherapy and other systemic therapy
Pelvic exenteration
Phase I and phase II clinical trials of new anticancer drugs

FIGO = Fédération Internationale de Gynécologie et d’Obstétrique.

From: Cervical Cancer Treatment (PDQ®)

Cover of PDQ Cancer Information Summaries
PDQ Cancer Information Summaries [Internet].
Bethesda (MD): National Cancer Institute (US); 2002-.
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