Treatment of choice in a patient with carcinoma cervix stage II is :
Ans. is d i.e. All of the above Management of stage II cancer. They can be managed either with surgery or radiation therapy Stage II a Type III Radical Hysterectomy with pelvic and para -- aoic lymphadenectomy. Or Primary chemoradiation. Stage II b Primary chemoradiation Chemoradiation : Concurrent use of chemotherapy and radiation have given good results. The use of chemotherapy to sensitize cells to radiation therapy has shown to improve loco-regional control. Most effective chemotherapy is cisplatin based chemotherapy. Radiotherpav : Radiation treatment plan consists of a combination of : External teletherapy to treat the regional lymphnodes and to decrease the tumour volume. Brachytherapy delivered by intracavitary application to provide a treatment boost to the central tumour. Intracavitary therapy alone may be used in patients with early disease with negligible incidence of lymph node metastasis. Surgery Radical hysterectomy for stage II A tumor is usually selected for young women with low BMI and who have concern about altered sexual functioning following radiotherapy. Also know 4 cm Type III radical hysterectomy with pelvic and para-aoic lymphadenectomy or primary chemoradiation " align="left" height="195" width="494">Management of Invasive Cancer of the Cervix
Extended hysterectomy
Chemotherapy
Intracavitatory brachytherapy
All of the above