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Management of Metastatic, Recurrent, and Unusual Cervical Cancer

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Handbook of Gynecology

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Abstract

Treatment guidelines for uterine cervical cancer have been established based on the findings of randomized clinical trials conducted in the past few decades. Although most cases of cervical cancer can be adequately managed with standard treatments, problems can arise in cases involving unusual presentations. Metastatic and recurrent cervical cancers are considered to be incurable. Although attempts have been made to treat patients with metastatic or recurrent cervical cancer with a variety of approaches including chemotherapy, radiotherapy, and surgery (as monotherapies or in combination), such patients have a dismal prognosis, with a reported 5-year survival rate of <10%. In this chapter, we first review the current management strategies for metastatic or recurrent cervical cancer. Then, we review the management strategies for unusual cases of cervical cancer, such as those involving the incidental detection of cervical cancer during pregnancy or in hysterectomy specimens, bulky lymph nodes, cervical stump cancer, cervical bleeding or ureteral obstruction, or unusual cervical cancer cell types.

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Authors and Affiliations

  1. Department of Gynecology, Osaka International Cancer Institute, Osaka, Japan

    Seiji Mabuchi, Mahiru Kawano, Ryoko Takahashi & Hiromasa Kuroda

  2. Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Suita, Osaka, Japan

    Ryoko Takahashi & Hiromasa Kuroda

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  1. Seiji Mabuchi
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  2. Mahiru Kawano
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  3. Ryoko Takahashi
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  4. Hiromasa Kuroda
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Correspondence to Seiji Mabuchi .

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Editors and Affiliations

  1. Department of Obstetrics and Gynecology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA

    Donna Shoupe

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Mabuchi, S., Kawano, M., Takahashi, R., Kuroda, H. (2023). Management of Metastatic, Recurrent, and Unusual Cervical Cancer. In: Shoupe, D. (eds) Handbook of Gynecology. Springer, Cham. https://doi.org/10.1007/978-3-031-14881-1_5

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  • DOI: https://doi.org/10.1007/978-3-031-14881-1_5

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