Managing advanced-stage cervical cancer

被引:10
作者
Allen, D [1 ]
Narayan, K [1 ]
机构
[1] Univ Melbourne, Mercy Hosp Women, Dept Gynaecol Oncol, Melbourne, Vic 3002, Australia
关键词
cervical cancer; advanced stage; imaging; management;
D O I
10.1016/j.bpobgyn.2005.03.001
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
The current staging methods and the definition of advanced cervical cancer are discussed. The clinical International Federation of Gynaecology and Obstetrics (FIGO) staging system has been found to be inaccurate and this limits treatment planning. More accurate management could be based on surgicopathological features of the tumour. However, the latest imaging techniques have the potential to give us this information in a non-invasive way. To deliver optimal treatment in advanced cervical cancer, we need to optimize the way we categorize the prognostic groups. Accurately delineating the extent of the disease will potentially minimize treatment morbidity and improve survival. The techniques of chemoradiation are also discussed in detail.
引用
收藏
页码:591 / 609
页数:19
相关论文
共 48 条
  • [1] Altintas A., 1995, European Journal of Gynaecological Oncology, V16, P120
  • [2] Feasability of retroperitoneal pelvic lymph node exploration in cervical carcinoma. Assessment of morbidity in 33 cases treated by combined radio-surgery or definitive radiotherapy
    Bolla, M
    Salvat, J
    Sarrazin, R
    Dyon, JF
    Berland, E
    Schmidt, MH
    deCornelier, J
    Quoc, TDH
    Rolachon, I
    [J]. RADIOTHERAPY AND ONCOLOGY, 1996, 40 (03) : 233 - 239
  • [3] MAGNETIC-RESONANCE IMAGING IN CERVICAL-CANCER - A BASIS FOR OBJECTIVE CLASSIFICATION
    BURGHARDT, E
    HOFMANN, HMW
    EBNER, F
    HAAS, J
    TAMUSSINO, K
    JUSTICH, E
    [J]. GYNECOLOGIC ONCOLOGY, 1989, 33 (01) : 61 - 67
  • [4] BURGHARDT E, 1992, CANCER, V70, P648, DOI 10.1002/1097-0142(19920801)70:3<648::AID-CNCR2820700318>3.0.CO
  • [5] 2-R
  • [6] *CANST CANC VICT, 2002, ANN VICT CANC REG ST
  • [7] NEW GYNECOLOGIC CANCER STAGING
    CREASMAN, WT
    [J]. GYNECOLOGIC ONCOLOGY, 1995, 58 (02) : 157 - 158
  • [8] Value of magnetic resonance imaging with an endovaginal receiver coil in the pre-operative assessment of Stage I and IIa cervical neoplasia
    deSouza, NM
    McIndoe, GAJ
    Soutter, WP
    Krausz, T
    Chui, KM
    Hughes, C
    Mason, WP
    [J]. BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 1998, 105 (05): : 500 - 507
  • [9] Pelvic irradiation with concurrent chemotherapy versus pelvic and para-aortic irradiation for high-risk cervical cancer: An update of radiation therapy oncology group trial (RTOG) 90-01
    Eifel, PJ
    Winter, K
    Morris, M
    Levenback, C
    Grigsby, PW
    Cooper, J
    Rotman, M
    Gershenson, D
    Mutch, DG
    [J]. JOURNAL OF CLINICAL ONCOLOGY, 2004, 22 (05) : 872 - 880
  • [10] SEVERE RADIATION MORBIDITY IN CARCINOMA OF THE CERVIX - IMPACT OF PRETHERAPY SURGICAL STAGING AND PREVIOUS SURGERY
    FINE, BA
    HEMPLING, RE
    PIVER, MS
    BAKER, TR
    MCAULEY, M
    DRISCOLL, D
    [J]. INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 1995, 31 (04): : 717 - 723