Cervical CA MX

Question 1

<3mm, no LN involved, mx?

Answer 1

Hysterectomy (not donr generally)
Cone biopsy if fertility is desired

Question 2

<4cm mx?

Answer 2

Surgery +
B/L pelvic lymphadenectomy

Question 3

> 4cm mx

Answer 3

Radio/brachytherapy + chemo

Never give radio and sx together - mortality high

Question 4

Radical trachelectomy

Answer 4

●<2cm lesions
●remove vagina, most/all cervix, parametrium
●Delivery by CS

Question 5

Mx of stage 4 disease

Answer 5

Palliative chemo