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Cervix Cancer / Cervical Cancer

Cervical Cancer: Overview, Risk Factors, Symptoms, Treatment and More | National Cancer Centre Singapore

Cervix Cancer / Cervical Cancer - Treatments

For pre-invasive disease, the treatment is the local removal of the abnormal lining of the cervix by local excision procedures or ablative procedures. Local excision techniques include knife or laser cone biopsies or Loop Electrosurgical Excision Procedures (LEEP). Ablative techniques include laser vaporization or cold coagulation. The technique of choice has to be discussed with the attending doctor. However, the successful treatment of precancer of the cervix almost certainly prevents cancer of the cervix from occurring.

For early invasive cancer of the cervix, a cure can be achieved with either surgery (removal of the uterus and cervix i.e hysterectomy, and surrounding tissues, including lymph nodes) or radiotherapy.

For advanced stage cervical cancer where surgery is not possible, concurrent chemo-radiotherapy or radiotherapy alone is the treatment of choice. Radiotherapy is often given in 2 parts. The first part is with external beam radiotherapy and this is usually followed by brachytherapy (internal radiotherapy). The external beam radiotherapy is usually daily lasting about 5-6 weeks. The brachytherapy is usually given at the latter part of the external beam radiotherapy, typically once a week for a total of 3 to 4 sessions. The chemotherapy is usually given once a week with the radiotherapy.

Prognosis of Cervical Cancer

The prognosis for early stage cervical cancer is very good with 5 year survival between 80% to 95%. However, for advanced stage cervical cancer, the 5 year survival rate may be less than 40%. 

Cervix Cancer / Cervical Cancer - Preparing for surgery

Cervix Cancer / Cervical Cancer - Post-surgery care