Tx cervical cancer

Question 1

> 2cm or not desiring fertility preservation (1AB)

Answer 1

radical hysterectomy and lymphadenectomy

Question 2

<2cm desiring fertility

Answer 2

radical trachelectomy and lymphadenectomy

Question 3

> 2cm and no surgical candidate with 1AB

Answer 3

chemoradiation

Question 4

stage 2

Answer 4

radical hysterectomy and chemoradiation

Question 5

locally advanced 2b/3

Answer 5

chemoradiation

Question 6

metastatic

Answer 6

combination chemo

Question 7

1a

Answer 7

local excision

hysterectomy +/- chemo (Cisplatin)

Question 8

1a2 or 1 b

Answer 8

hysterectomy, chemo, lymphadenectomy

Question 9

1A

Answer 9

diagnosed on biopsy

Question 10

1B

Answer 10

visible lesion confined to cervix

Question 11

3

Answer 11

tumour affixed to pelvic sidewall, or involving the lower third of the vagina, or is associated with a non-functioning kidney or hydronephrosis

Question 12

2

Answer 12

cancer invades beyond the cervix but not the pelvic sidewall or the distal third of the vagina

Question 13

4

Answer 13

mets (bladder or rectum or more distant)

Question 14

Ix

Answer 14

SPECULUM and colposcopy