Treatment

Treatment Options by Stage

Stage 0 Cervical Cancer (Carcinoma in Situ)

• Loop electrosurgical excision procedure (LEEP) - a technique that uses electric current passed through a thin wire loop to remove abnormal tissue. Also called loop excision.
• Conization - surgery to remove a cone-shaped piece of tissue from the cervix and cervical canal.
• Total hysterectomy- surgery to remove the entire uterus, including the cervix. 
• Laser surgery.
• Cryosurgery.
• Internal radiation therapy for women who cannot have surgery.

Stage IA Cervical Cancer

• Total hysterectomy with or without bilateral salpingo-oophorectomy (surgery to remove both ovaries and both fallopian tubes).
• Conization.
• Removal of lymph nodes and radical hysterectomy (surgery to remove the uterus, cervix, and part of the vagina).
• Internal radiation therapy.

Stage IB Cervical Cancer

• A combination of internal radiation therapy and external radiation therapy.
• Radical hysterectomy and removal of lymph nodes.
• Radical hysterectomy and removal of lymph nodes followed by radiation therapy plus chemotherapy.
• Radiation therapy plus chemotherapy.
• A clinical trial of high-dose internal radiation therapy combined with external radiation therapy.

Stage IIA Cervical Cancer

• A combination of internal radiation therapy and external radiation therapy.
• Radical hysterectomy and removal of lymph nodes.
• Radical hysterectomy and removal of lymph nodes followed by radiation therapy plus chemotherapy.
• Radiation therapy plus chemotherapy.
• A clinical trial of high-dose internal radiation therapy combined with external radiation therapy.

Stage IIB Cervical Cancer

• Treatment of stage IIB cervical cancer may include internal and external radiation therapy combined with chemotherapy.

Stage III Cervical Cancer

• Treatment of stage III cervical cancer may include internal and external radiation therapy combined with chemotherapy.

Stage IVA Cervical Cancer

• Treatment of stage IVA cervical cancer may include internal and external radiation therapy combined with chemotherapy.

Stage IVB Cervical Cancer

• Radiation therapy as palliative therapy to relieve symptoms caused by the cancer and improve quality of life.
• Chemotherapy.
• Clinical trials of new anticancer drugs or drug combinations.

Reference:

National Cancer Institute, USA.