Cervical Cancer

Question 1

What is the management of cervical cancer in a pregnant patient who desires termination?

Answer 1

Up to stage IB - rad hyst, lymph nodes, fetus left in situ

IIB or greater - chemoradiation, brachytherapy, termination

Question 2

What is the management of cervical cancer in a pregnant patient who desires to continue a pregnancy?

Answer 2

Neoadjuvant chemotherapy
Delivery via classical cesarean section
Usual treatment

Question 3

Stage 1 cervical cancer

Answer 3

Confined to the uterus
1A - microscopic disease, < 5 mm depth
1B - macroscopic disease or >= 5 mm depth

Question 4

Stage 2 cervical cancer

Answer 4

Extension beyond the uterus
2A - upper 2/3 of vagina, no parametrial invasion
2B - parametrial invasion

Question 5

Stage 3 cervical cancer

Answer 5

3A - lower third of the vagina
3B - pelvic sidewall or causing hydronephrosis
3C - involvement of pelvic or paraaortic lymph nodes

Question 6

Stage 4 cervical cancer

Answer 6

Invasion of mucosa of bladder or bowel or extension outside of the pelvis
4A - adjacent pelvic organs
4B - distant organs