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Approach and Management of Cervical Cancer

  • Chapter
International Manual of Oncology Practice

Abstract

Cervical cancer represents the third most commonly diagnosed cancer and the fourth cause of cancer death in women worldwide. Developing countries carry the biggest burden with approximately 76–85 % of cervical cancer. The most important factor for the development of this neoplasia is persistent human papillomavirus (HPV) infection and the incidence of cervical cancer is related to the prevalence of HPV in the population. Squamous cell cervical cancer represents approximately 80 % of all cervical cancers and adenocarcinoma and its variations accounts for approximately 20 %. Staging is essentially a clinical evaluation. The FIGO staging procedures include colposcopy, biopsy; cystoscopy, proctosigmoidoscopy and chest radiograph, accordingly to the symptoms. The treatment for early-stage cervical cancer is either surgery or radiation therapy. Surgery is reserved for stages IA, IB1 and selected IIA1. Chemoradiation is the treatment of choice for stage IB2 to IVA and for patients who are not candidates for hysterectomy. For patients with metastatic disease (stage IVB), platinum-based chemotherapy is usually the first choice. Immunization against HPV is expected to prevent specific HPV cancer in women and more effective screening in developing countries will contribute for a significant decline in incidence and mortality of cervical cancer.

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Garces, A.H.I. et al. (2015). Approach and Management of Cervical Cancer. In: de Mello, R., Tavares, Á., Mountzios, G. (eds) International Manual of Oncology Practice. Springer, Cham. https://doi.org/10.1007/978-3-319-21683-6_19

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