If there is any cancer cell that
found in pelvic lymph nodes during the surgery process then there will be
removal process on lymph nodes that lie along the aorta as treatment for
cervical cancer. Tissue that removed will be examine later to find out how far
the cancer cell spreading. If the cancer is already spread to the tissue next
to the uterus area then you may need some radiation therapy. You may also get
combination of chemotherapy and radiation therapy.
If the pathology report showing that
the removing tissue has positive margin then you can take pelvic radiation with
cisplatin chemotherapy or brachytherapy. It is possible since the cancer cell
still in the edges of the tissue and left behind some cancer cell.
Stage 1B and 2A
Common treatment types during this
stage are radiation, surgery or chemoradiation. However, the standard treatment
that commonly applied is the radical hysterectomy by removing the lymph nodes
in the pelvis area. Somehow, the lymph node in the abdomen area is also removed
to make sure whether the cancer cell is also spreading there or not. If you
want to have baby then radical hysterectomy is the perfect available option.
Another option is the brachytherapy
and external beam radiation therapy. Chemo usually will be applied along with
the radiation.
Stage 1B2 and 2A2
If you already achieve stage 1B2 and
2A2 then you can choose chemo with radiation therapy. The chemo itself can be
cisplatin or cisplatin with fluorouracil. Radiation therapy here will combine
the external beam radiation and brachytherapy. If you want another treatment
then you may take radical hysterectomy with pelvic lymph nodes removal. When
the cancer cell is found in removed lymph nodes or in the edge of removed
tissue then you can take surgery and following it with radiation therapy such
as concurrent chemoradiation. After that, hysterectomy may be applied.
Stage 2B, 3 and 4A
During this stage, proper treatment
for cervical cancer is radiation therapy that is given with chemo or concurrent
radiation. The chemo itself can be cisplatin or cisplatin plus fluroroyracil
while the radiation will combine brachytherapy and beam radiation. If the
spreading of cancer cell is already reach lymph nodes in upper part or abdomen
then the cancer may spread in other areas of body. If this happen then you
better checking the lymph nodes first before applying any radiation.
Surgery is the one that commonly
suggested. Another option is MRI and PET/CT to see the lymph nodes condition.
If the lymph nodes is bigger or light then PET study will showing the cancer
presence. If it is contain cancer the biopsy is the advised action. When the
cancer attacking lymph nodes in upper abdomen area then continuous test is
needed to make sure whether the cancer is already spread to the other body part
or not.
Stage 4B
When you have 4B stage then it means
the cancer already spread out from pelvis to other body part. Radiation therapy
and chemo is the most common recommended treatment. Standard treatment is
platinum compound usage such as cisplatin and carboplatin. These two will goes
along with certain drugs such as gemcitabine, topotecan and paclitaxel. Another
type of drug to add is avastin.
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