A 43 year old female is diagnosed of having carcinoma of cervix with obstruction of both ureters on imaging studies. What is the treatment of choice in this patient?
Carcinoma of cervix: Stage III A - Involvement of the lower third of the vagina. Stage III B - Involvement of a parametria to the sidewall or obstruction of one or both ureters on imaging Chemoradiation is the treatment of choice for this stage. Class II hysterectomy is also referred to as a modified radical hysterectomy or Weheim's hysterectomy and is well suited for patients with stage IA2 and small lesions that do not disto the anatomy. Schauta operation is for all cases of stage I A cervical cancer. Chemotherapy with palliative radiation is indicated for stage IV B. Ref: Cain J., ElMasri W.M., Gregory T., Kohn E.C. (2010). Chapter 41. Gynecology. In F.C. Brunicardi, D.K. Andersen, T.R. Billiar, D.L. Dunn, J.G. Hunter, J.B. Matthews, R.E. Pollock (Eds), Schwaz's Principles of Surgery, 9e.
Weheim's hysterectomy
Schauta operation
Chemotherapy
Intracavitary brachytherapy followed by external beam radiotherapy