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RT Ca. Cervix > STAGING > Flashcards

STAGING Flashcards

1
Q

IA

A

Micro stromal invasion <5mm
Tx: Cirugia
Supervivencia global a 5 años: 75%

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2
Q

IA1

A

Invasion < 3 mm
Tx: cirugia
Supervivencia global a 5 años: 75%

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3
Q

IA2

A

Invasion < 5 mm
Tx: cirugia
Supervivencia global a 5 años: 75%

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4
Q

IB

A

Macro stromal invasion >5mm
Tx: Cirugia
Supervivencia global a 5 años: 75%

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5
Q

IB1

A

Tamaño <2cm
Tx: cirugia
5y OS: 75%

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6
Q

IB2

A

Macro estromal invasion
Tamaño >2 - <4 cm
Tx: QRT concurrente
5y OS: 75%

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7
Q

IB3

A

Tamaño >4 cm
Tx: QRT
5y OS: 75%

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8
Q

IIA1

A

envuelve 2/3 superiores de la Vagina sin invasion a parametrios <4cm
Tx: QRT
5y OS: 55%

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9
Q

IIA2

A

2/3 superior a la Vagina sin invasion a parametrios y son mayores a >4cm
Tx: QRT
5y OS: 55%

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10
Q

IIB

A

Parametrios sin llegar a la pared pelvica
Tx: QRT
5y OS: 55%

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11
Q

IIIA

A

1/3 inferior de la vagina
Tx: QRT
5y OS: 30%

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12
Q

IIIB

A

Pared pelvica lateral y/o hidronefrosis ó que no funcionen los riñones (hasta que se demuestre que sea por otra causa)
Tx: QRT
5y OS: 30%

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13
Q

IIIC

A

Nodulos pelvicos y/o ganglios paraorticos
Tx: QRT
5y Os: 30%

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14
Q

IIIC1

A

Ganglios pelvicos
Tx: QRT
5y OS: 30%

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15
Q

IIIC2

A

Ganglios paraorticos
Tx: QRT
5y OS: 30%

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16
Q

IV

A

Se extiende a la pelvis verdadera, envuelve la mucosa de la vejiga o el recto
Tx: QRT
5y OS: 15%

17
Q

IVA

A

Organos pelvicos
Tx: QRT
5y OS: 15%

18
Q

IVB

A

Organos a distancia
Tx: QRT
5y OS: 15%

19
Q

T1

A

Tumor confinado estrictamente al cervix

20
Q

T2

A

Tumor invade mas allá del utero, pero no se ha extendido al tercio inferior de la vagina ni a la pared pélvica

21
Q

IIA

A

Dos tercio superiores de la Vagina sin invasión de parametrios

22
Q

Stage IA1

no lymphovascularspace invasion (LVSI)

A

Biopsia en cono con márgenes negativos

Si hay márgenes positivos: repetir biopsia o traquelectomia

23
Q

Stage IA1 with LVSI and Stage IA2

A

Traquelectomía radical+ linfadenectomía pélvica
(considere el mapeo del ganglio linfático centinela [SLN])
o
Biopsia de cono con margen negativo
(preferiblemente una muestra no fragmentada con un margen negativo de al menos 3 mm)
(si los márgenes son positivos, repetir la biopsia en cono o realizar una traquelectomía) + linfadenectomía pélvica (considere el mapeo SLN)

24
Q

Stage IA1
tx primario
margenes negativos y inoperable

A

observacion

25
Q

Stage IA1
tx primario
margenes negativos y operable

A

histerectomía extrafacial

RT Ca. Cervix (1 decks)

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