Cervical cancer

Question 1

Stage 1

Answer 1

Confined to cervix

Question 2

1A
1A1
1A2

Answer 2

Microscopic
<3mm = coninization / LLETZ
<5mm = Radical hysterectomy + LN dissection

Question 3

Stage 2

Answer 3

Beyond the cervix but not to the pelvic wall or lower third of the vagina.
Chemorad: cisplatin, EBRT + VBT

Question 4

2A
2A1
2A2

Answer 4

To upper vaginal but not parametrium
</= 4cm
> 4cm

Question 5

2B

Answer 5

Parametrial invasion but no pelvic side wall involvement
Chemorad: cisplatin, EBRT + VBT

Question 6

Stage 3

Answer 6

Spread to lower vagina / pelvic side wall / hydronephrosis / pelvic / para-aortic LN spread
Chemorad: cisplatin, ERBT + VBT

Question 7

3A

Answer 7

Spread to lower vagina

Question 8

3C
3C1
3C2

Answer 8

LN
Pelvic
Para-aortic

Question 9

3B

Answer 9

Involvement of the pelvic wall and/or hydronephrosis.

Question 10

Stage 4

Answer 10

Distant mets

Question 11

4A

Answer 11

Spread to adjacent organs such as the bladder or rectum.

Question 12

4B

Answer 12

Distant metastasis to organs like the lungs or liver.

Question 13

1B
1B1

1B2
1B3

Answer 13

Macroscopic
>5mm </= 2cm LOW vol - consider simple; HIGH vol - radical hysterectomy + LN
> 2cm </= 4cm = radical hysterectomy +LN
>4cm Chemorad: cisplatin; EBRT +VBT