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Cervical Cancer Tx

Gynae Oncology

QuestionAnswer
Treat CIN1 (LSIL) Observe with pap smear every 6 mos
treat recurrent cin 1 (2 times) colposcopy
treat progressive cin 1 (lsil) Excise: LLETZ/cone Ablate: Laser/cryocautery
cin 2 and cin 3 Excise (LLETZ, cone) and hysterectomy if no future child bearing
stage 1a1 1. wertheim's operation OR 2. primary radiotherapy OR radical trachelectomy for fertility. Adjuvant chemoradiation if positive LN, parametria or margins
stage 1b2 and up primary chemoradiation. no hysterectomy
Wertheim's operation uterus, cervix, upper 1/3rd of vagina, parametrium, extensive LN
LN removed in Wertheim's paracervical, presacral, superior vesical, obturator, int iliac, external iliac, common iliac
Created by: IonaDel
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