Treatment FAQ

what is the most common treatment for cervical cancer?

by Prof. Dion Krajcik II Published 3 years ago Updated 2 years ago
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Common treatment approaches
For the earliest stages of cervical cancer, either surgery or radiation combined with chemo may be used. For later stages, radiation combined with chemo is usually the main treatment. Chemo (by itself) is often used to treat advanced cervical cancer.

Medication

Common types of treatments for cervical cancer include: Surgery for Cervical Cancer. Radiation Therapy for Cervical Cancer. Chemotherapy for Cervical Cancer. Targeted Therapy for Cervical Cancer. Immunotherapy for Cervical Cancer.

Procedures

Cervical cancer is a disease in which malignant (cancer) cells form in the tissues of the cervix. The cervix is the lower, narrow end of the uterus (the hollow, pear-shaped organ where a fetus grows).

Therapy

A patient may receive 1 drug at a time or a combination of different drugs given at the same time. For women with cervical cancer, chemotherapy is often given in combination with radiation therapy (see above). Although chemotherapy can be given orally (by mouth), all the drugs used to treat cervical cancer are given intravenously (IV).

Nutrition

Although chemotherapy can be given orally (by mouth), all the drugs used to treat cervical cancer are given intravenously (IV). IV chemotherapy is either injected directly into a vein or given through a thin tube called a catheter, which is a tube temporarily put into a large vein to make injections easier.

What is the best treatment for cervical cancer?

What is cervical cancer?

How many drugs are given to treat cervical cancer?

How is IV chemotherapy used to treat cervical cancer?

See more

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What is the best cure for cervical cancer?

Surgery to remove the cervix and uterus (hysterectomy). Most early-stage cervical cancers are treated with a radical hysterectomy operation, which involves removing the cervix, uterus, part of the vagina and nearby lymph nodes. A hysterectomy can cure early-stage cervical cancer and prevent recurrence.

What are treatment options for cervical cancer?

Cervical cancer treatments include surgery, chemotherapy, and radiation therapy. If your doctor says that you have cervical cancer, ask to be referred to a gynecologic oncologist—a doctor who has been trained to treat cancers of a woman's reproductive system. This doctor will work with you to create a treatment plan.

Can cervical cancer be cured completely?

Cervical cancer is curable, but it is difficult for doctors to know for sure that it will never come back following treatment. Therefore, doctors often use the term “remission” to describe cancer that has gone away and is no longer causing symptoms.

Do you need chemo for Stage 1 cervical cancer?

Stage 1 cervical cancer is usually treated with: surgery. combined chemotherapy and radiotherapy (chemoradiotherapy)

Does hysterectomy cure cervical cancer?

Nearly half of cervical cancers are diagnosed at an early stage, meaning the tumors are small and have not spread beyond the cervix. Although there are other treatment options, radical hysterectomy is the most common treatment for early-stage disease, and cure rates for the disease are around 80%.

How is early stage cervical cancer treated?

The most common treatment for early-stage cervical cancers is radical hysterectomy (surgical removal of the cervix, uterus, and surrounding tissues called the parametrium). The alternative is radiation therapy (RT), which is usually given in combination with chemotherapy.

What is the main cause of cervical cancer?

Nearly all cervical cancers are caused by an infection with certain high-risk types of human papillomavirus (HPV). You can get HPV from: any skin-to-skin contact of the genital area. vaginal, anal or oral sex.

Can cervical cancer come back after hysterectomy?

Patients who've had a minimally invasive radical hysterectomy for cervical cancer treatment have an 8% chance of the cancer coming back. In other words, one out of 10 patients will have a recurrence.

What if cervical biopsy shows cancer?

If the biopsy shows that cervical cancer is present, the doctor will refer you to a gynecologic oncologist, which is a doctor who specializes in treating cancers of the female reproductive system. Your doctor may suggest additional tests to see if the cancer has spread beyond the cervix.

How long does it take for cervical cancer to go from Stage 1 to Stage 4?

Cervical cancer develops very slowly. It can take years or even decades for the abnormal changes in the cervix to become invasive cancer cells. Cervical cancer might develop faster in people with weaker immune systems, but it will still likely take at least 5 years.

When is a hysterectomy needed for cervical cancer?

If the cancer has grown into blood or lymph vessels, you might need a radical hysterectomy along with removal of the pelvic lymph nodes. Sometimes, surgery is not done and external beam radiation to the pelvis followed by brachytherapy is used.

What foods should you avoid if you have cervical cancer?

Up to 99.7% of cervical cancer cases result from infection with the human papillomavirus (HPV)....Thus, foods to limit or avoid include:foods high in added sugar.processed meats such as deli meat.red meats.foods high in saturated and trans fats.

How to treat cervical cancer during pregnancy?

Treatment of cervical cancer during pregnancy depends on the stage of the cancer and how long the patient has been pregnant. A biopsy and imaging tests may be done to determine the stage of the disease. To avoid exposing the fetus to radiation, MRI (magnetic resonance imaging) is used.

Where does cervical cancer form?

Cervical cancer is a disease in which malignant (cancer) cells form in the tissues of the cervix. The cervix is the lower, narrow end of the uterus (the hollow, pear-shaped organ where a fetus grows). The cervix leads from the uterus to the vagina (birth canal). Anatomy of the female reproductive system.

How big is stage 2 cervical cancer?

Stage II cervical cancer. In stages IIA1 and IIA2, cancer has spread from the cervix to the upper two-thirds of the vagina but has not spread to the tissue around the uterus. In stage IIA1, the cancer is 4 centimeters or smaller. In stage IIA2, the cancer is larger than 4 centimeters.

What is the purpose of DNA and RNA in a cervical Pap test?

Cells are collected from the cervix and DNA or RNA from the cells is checked to find out if an infection is caused by a type of HPV that is linked to cervical cancer. This test may be done using the sample of cells removed during a Pap test.

What is the risk factor for cervical cancer?

Human papillomavirus (HPV) infection is the major risk factor for cervical cancer. Anything that increases your chance of getting a disease is called a risk factor. Having a risk factor does not mean that you will get cancer; not having risk factors doesn't mean that you will not get cancer.

What is the procedure to remove abnormal cells from a Pap test?

Biopsy: If abnormal cells are found in a Pap test, the doctor may do a biopsy. A sample of tissue is cut from the cervix and viewed under a microscope by a pathologist to check for signs of cancer. A biopsy that removes only a small amount of tissue is usually done in the doctor’s office.

How does chemo work?

When chemotherapy is taken by mouth or injected into a vein or muscle , the drugs enter the bloodstream and can reach cancer cells throughout the body ( systemic chemotherapy ). When chemotherapy is placed directly into the cerebrospinal fluid, an organ, or a body cavity such as the abdomen, the drugs mainly affect cancer cells in those areas ( regional chemotherapy ). The way the chemotherapy is given depends on the type and stage of the cancer being treated.

What tests are done to determine if you have cervical cancer?

Your cancer's stage is a key factor in deciding on your treatment. Staging exams include: Imaging tests.

What is the test for cervical cancer?

A Pap test can detect abnormal cells in the cervix, including cancer cells and cells that show changes that increase the risk of cervical cancer. HPV DNA test.

What is palliative care?

Palliative care is specialized medical care that focuses on providing relief from pain and other symptoms of a serious illness. Palliative care specialists work with you, your family and your other doctors to provide an extra layer of support that complements your ongoing care.

What tests can be done to check if you have cancer?

Tests such as X-ray, CT, MRI and positron emission tomography (PET) help your doctor determine whether your cancer has spread beyond your cervix. Visual examination of your bladder and rectum. Your doctor may use special scopes to see inside your bladder and rectum.

Can you remove cancer from a small cervix?

Surgery to cut away the cancer only. For a very small cervical cancer, it might be possible to remove the cancer entirely with a cone biopsy. This procedure involves cutting away a cone-shaped piece of cervical tissue, but leaving the rest of the cervix intact.

Can you use chemotherapy for cervical cancer?

Sometimes both methods are used. For locally advanced cervical cancer, low doses of chemotherapy are often combined with radiation therapy, since chemotherapy may enhance the effects of the radiation . Higher doses of chemotherapy might be recommended to help control symptoms of very advanced cancer.

Can you be prepared for cancer?

No one can be prepared for a cancer diagnosis. You can, however, try to manage the shock and fear you're feeling by taking steps to control what you can about your situation.

When is chemo used for cervical cancer?

Chemotherapy is often used in cases of cervical cancer when the patient's malignancy has spread beyond the cervix and into the nearby tissues or lymph nodes. It is not uncommon for an affected individual to undergo surgery to remove cancer and then have chemotherapy afterward to ensure all cancerous cells were removed.

What is cervical cancer?

Cervical cancer is a type of cancer that develops in the cervix, which is the bottom region of the uterus that attaches to the vagina. Cervical cancer occurs when a cell in the cervix experiences a DNA mutation that interferes with its growth, division, and apoptosis. While it is not clear what causes mutations, it is known to be associated with the human papillomavirus (HPV). It is not uncommon for an individual to have HPV, and it does not usually cause problems. However, certain strains of the human papillomavirus combined with environmental factors can cause the development of cervical cancer. Adenocarcinoma and squamous cell carcinoma are the two types of cervical cancer. Cervical cancer typically doesn't produce symptoms until it is advanced. Bleeding after intercourse, bleeding after menopause, or bleeding between periods can indicate cervical cancer. A punch biopsy or endocervical curettage are used to diagnose cervical cancer.

How does chemo work?

Chemotherapy works by killing off any cells in the cellular division process since malignant cells are almost always in some cellular division phase. Chemotherapy can be given orally, but it is more common or it to be administered intravenously in a medical facility.

What is pelvic exenteration?

Pelvic exenteration is a procedure only used in very advanced cases of cervical cancer that has spread well beyond the cervical tissues. This procedure may also be used in cases where the patient has had their cancer come back after previous treatments.

What is the term for a procedure to remove cervical cancer from the uterus?

Patients who have advanced cervical cancer that has spread into their uterus, lymph nodes, and or vaginal tissues may require a procedure referred to as a radical hysterectomy.

What is the procedure to remove cancerous tissue?

Unlike a method called loop electrosurgical excision, the surgeon uses a scalpel to remove the cancerous tissue rather than an electric loop tool.

Why do you need a hysterectomy?

A hysterectomy may be needed to treat cervical cancer if it has spread into other tissues inside or on the uterus. A hysterectomy is a surgical procedure where the patient's cervix and uterus are completely removed. This is a measure taken in individuals who have cervical cancer that has spread beyond the cervix and into or on the outside ...

How to give a systemic treatment for cervical cancer?

Common ways to give systemic therapies include an intravenous (IV) tube placed into a vein using a needle or in a pill or capsule that is swallowed (orally). The types of systemic therapies used for cervical cancer include: Chemotherapy. Targeted therapy.

What is standard of care for cervical cancer?

This section explains the types of treatments that are the standard of care for cervical cancer. “Standard of care” means the best treatments known. Clinical trials may also be an option for you, which is something you can discuss with your doctor.

What is the procedure to remove the uterus after hysterectomy?

This procedure has become an acceptable alternative to a hysterectomy for some patients. Exenteration. The removal of the uterus, vagina, lower colon, rectum, or bladder if cervical cancer has spread to these organs after radiation therapy (see below). Exenteration is rarely recommended.

What is the procedure for removing a tumor?

For cervical cancer that has not spread beyond the cervix, these procedures are often used: Conization.

What is the goal of radiation therapy combined with chemotherapy?

The goal of radiation therapy combined with chemotherapy is to increase the effectiveness of the radiation treatment. This combination is given to control the cancer in the pelvis with the goal of curing the cancer without surgery. It may also be given to destroy microscopic cancer that might remain after surgery.

What is targeted therapy?

Targeted therapy is a treatment that targets the cancer’s specific genes, proteins, or the tissue environment that contributes to cancer growth and survival. This type of treatment blocks the growth and spread of cancer cells and limits damage to healthy cells.#N#Not all tumors have the same targets. To find the most effective treatment, your doctor may run tests to identify the genes, proteins, and other factors in your tumor. This helps doctors better match each patient with the most effective treatment whenever possible. In addition, research studies continue to find out more about specific molecular targets and new treatments directed at them. Learn more about the basics of targeted treatments.

What is the treatment for cancer?

Radiation therapy . Radiation therapy is the use of high-energy x-rays or other particles to destroy cancer cells. A doctor who specializes in giving radiation therapy to treat cancer is called a radiation oncologist. Radiation therapy may be given alone, before surgery, or instead of surgery to shrink the tumor.

Key facts

Cervical cancer is the fourth most common cancer among women globally, with an estimated 604 000 new cases and 342 000 deaths in 2020. About 90% of the new cases and deaths worldwide in 2020 occurred in low- and middle-income countries (1).

Overview

Worldwide, cervical cancer is the fourth most frequent cancer in women with an estimated 604 000 new cases in 2020. Of the estimated 342,000 deaths from cervical cancer in 2020, about 90% of these occur in low- and middle-income countries.

HPV and cervical Cancer

A large majority of cervical cancer (more than 95%) is due to the human papillomavirus (HPV).

Cervical cancer control: A comprehensive approach

The Global strategy towards eliminating cervical cancer as a public health problem , adopted by the World Health Assembly in 2020, recommends a comprehensive approach to cervical cancer prevention and control. The recommended actions include interventions across the life course.

Treatment of cervical pre-cancer

If treatment of pre-cancer is needed and eligibility criteria are met, ablative treatment with cryotherapy or thermal ablation are recommended. Both treatments are equally effective and safe and can be performed in an outpatient clinic.

WHO response

The World Health Assembly adopted the global strategy to accelerate the elimination of cervical cancer as a public health problem. The definition of elimination of cervical cancer has been set up as a country reaching the threshold of less than 4 cases of cervical cancer per 100 000 women per year.

What is cervical cancer?

This diagram shows different parts of a woman’s reproductive system. Cancer is a disease in which cells in the body grow out of control. Cancer is always named for the part of the body where it starts, even if it spreads to other body parts later.

Where is the cervix located?

The cervix connects the vagina (birth canal) to the upper part of the uterus. The uterus (or womb) is where a baby grows when a woman is pregnant. All women are at risk for cervical cancer. It occurs most often in women over age 30.

What Are Symptoms of Cancer of the Cervix?

Cancer of the cervix (cervical cancer) often does not have symptoms in the early stages. Symptoms of cancer of the cervix usually do not start until the cancer grows and spreads (metastasizes) into nearby tissue. When symptoms of cancer of the cervix occur, they may include:

What Causes Cancer of the Cervix?

The cause of cancer of the cervix (cervical cancer) is often unknown but it is believed it may be due to genetic changes (mutations).

How Is Cancer of the Cervix Diagnosed?

Cancer of the cervix (cervical cancer) is diagnosed with regular screenings.

What Is the Treatment for Cancer of the Cervix?

Treatments for cancer of the cervix (cervical cancer) may include one or more of the following:

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Diagnosis

Treatment

Clinical Trials

Coping and Support

Medically reviewed by
Dr. Khutaija Bano
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
The treatment options include surgery, radiation and chemotherapy.
Medication

Chemotherapy: Uses medications usually injected into a vein to kill cancer cells. Sometimes used in combination with radiation.

Bevacizumab . Carboplatin . Cisplatin . Docetaxel . Fluorouracil (5-FU) . Gemcitabine

Procedures

Simple hysterectomy: The cervix and uterus are removed along with the cancerous tumor. This is done in a very early-stage of cervical cancer.

Radical hysterectomy: The cervix, uterus, part of the vagina and lymph nodes are removed along with the cancerous tumor.

Therapy

Radiation therapy:Utilizes high-powered energy beams like X-rays or protons to kill cancer cells.

Nutrition

Foods to eat:

  • Beta-carotene rich foods like carrots, cantaloupe, peaches, squash
  • Folic acid rich foods such as dark green leafy vegetables and asparagus
  • Citrus fruit such as orange, lemon
  • Whole-grain cereals and breads
  • Lycopene containing products such as tomato, watermelon

Foods to avoid:

  • Food rich in sugar

Specialist to consult

Gynecologist
Specializes in the health of the female reproductive systems and breasts.
Gynecologic oncologist
Specializes in the diagnosis and treatment of women with cancer of the reproductive organs.

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