Presentation on theme: "Staging for Cervical Cancer Can be done under anaesthesia WHO recommends downstaging Aim is to obtain adequate Histological specimen for conformation ("— Presentation transcript:
Staging for Cervical Cancer Can be done under anaesthesia WHO recommends downstaging Aim is to obtain adequate Histological specimen for conformation ( 90% are SCC and 10 - 15% are adenocarcinoma) Stage IACancer confined to the cervix Stage IB Stage II ACancer beyond cervix extending to upper 1/3 vagina Stage II BCancer beyond the cervix extending to para-metrium
Stage III A - Cancer beyond the cervix extending distal portion of the vagina. Stage III B - Cancer beyond the cervix extending to pelvic side wall. Stage IV A/IV B - Cancer has spread to bladder/ rectum and can involve distant metastasis (in stage IV B)
N.BStage IB1 - diameter cancer < 4cm Stage IB2 - diameter cancer > 4cm Most operable cervical cancers are stage II A and Below: Aim of surgery is to remove entire margins of tumour and any metastatic disease in the pelvis. Extended Hysterectomy and bilateral pelvic lymphadenectomy (“Wetheims” “Meigs”).
Remove uterus with its parematrium, cervix and paracervical tissue, vaginal cuff, Right and Left pelvic lymph nodes. Post-surgical radiotherapy must be offered to women with incomplete resection margins and those with metastatic pelvic nodes. Stage 1B 2 is best treated by initial radiation therapy before surgical intervention.
Complications Anaesthetic Haemorrhage Damage urinary/bowel systems Infection (UTI/Pelvic/Wound/Atelactosis) Lymphoecele DVT Preservation of ovaries Preservation of functional vagina Radiotherapy can be used to treat all stages of cervical cancer and is the only option available for the non-operable stage II B and above.