Cervical Cancer Flashcards
Incidence rate in pregnancy
0.1-12 per 10000 pregnancies
Who should have cytology follow up during pregnancy
CGIN and CIN 2/3 with involved or uncertain margins
Progression rate from pre-invasive to invasive disease in pregnancy
0.04%
Risk of haemorrhage with loop diathermy in pregnancy
25%
First line imaging in pregnancy
MRI
FIGO stage 1A
Invasive carcinoma maximum depth <5mm on microscopy
1A1 - stromal invasion <3mm
1A2 - stromal invasion >3mm
FIGO stage 1B
Deepest measured invasion >5mm confined to cervix uteri
1B1 - >5mm stromal invasion and <2cm greatest dimension
1B2 - >2cm stromal invasion and <4cm greatest dimension
1B3 - Greatest dimension >4cm
FIGO stage 2A
Involvement limited to upper 2/3rds of vagina without parametrial involvement
2A1 - invasive carcinoma <4cm in greatest dimension
2A2 - invasive carcinoma >4cm in greatest dimension
FIGO Stage 2B
With parametrial involvement but not involving pelvic side wall
FIGO stage 3
Carcinoma invades pelvic side wall/lower third of vagina and/or causes hydronephrosis or non-functioning kidney and/or involves pelvic and/or paraaortic lymph nodes
FIGO stage 2
Extends beyond uterus but is confined to upper 2/3rds of the vagina and does not involve the pelvic side wall
FIGO stage 3A
Involves lower third of vagina with no extension to pelvic side wall
FIGO stage 3B
Extension to pelvic side wall and/or hydronephrosis or non-functioning kidney
FIGO stage 3C
Involvement of pelvic or para aortic lymph nodes
3C1 - pelvic lymph nodes only
3C2 - para-aortic lymph nodes
FIGO stage 4
Carcinoma extends beyond true pelvis or involves bladder or rectal mucosa (biopsy proven)
