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Cervical Cancer : Knowing About Stages And Treatment

Cervical cancer treatment isn’t one-size-fits-all. From stage I to IV, each stage requires a unique approach.

The statement above might have reassured you that tailoring cervical cancer treatment by stages can give you better results.

Hence, understanding cervical cancer is the first step to protecting yourself against it.

The expertise of our Tumour Board, where skilled professionals from diverse medical backgrounds unite to deliver unparalleled cervical cancer care, can be the one way to ensure better outcomes in terms of treatment.

What does make a tumor board special?

Through a collaborative approach, they assess and address each patient’s unique health situation, aiming for nothing less than exceptional results.

On that note, we’ll start by understanding what is cervical cancer, moving on to cervical cancer treatment by stage.

What is Cervical Cancer?

What is Cervical Cancer?

Cervical cancer is one of the most common gynecological cancers and affects women around the world. It occurs when abnormal cells on the cervix, the lower part of the uterus that connects to the vagina, start to grow out of control.

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Understanding Cervical Cancer Treatment by Stage

Understanding Cervical Cancer Treatment by Stage

The treatment for cervical cancer is determined by the stage at which it is diagnosed and the extent to which it has spread. Typically, cervical cancer is detected in its early stages, specifically stages I and II.

1) Stage 1 cervical cancer treatment 

Stage 1 cervical cancer treatment

Stage I cervical cancer is the earliest stage of this disease, typically including tumors only present in the cervix. This type of cancer is considered highly treatable and curable, with survival rates approaching 100% for early diagnosis and treatment.

The extent of cancer in stage I cervical cancer:

At this stage, the cancer cells have not yet spread beyond the cervix to other body parts.

Symptoms of Cervical cancer in stage I:

The most common symptom associated with Stage I cervical cancer is bleeding between menstrual periods. 

However, some patients may experience no symptoms at all and it is important to remember that many women go through life without any signs or symptoms of this disease. 

If a woman experiences any unusual symptoms, it is important to seek medical advice in order to obtain the most accurate diagnosis and treatment plan.

Stage I cervical cancer categories:

Depending on the most profound extent to which the tumor has invaded, Stage IA is divided into two categories.

  • Stage IA1: AA microscopically small amount of cancer can be found in the tissues of a cervix, and the most profound point at which it has spread is no more than 3 millimeters.
  • Stage IA2: A microscopic amount of cancer can be identified in the tissues of the cervix, and upon further inspection, is determined to have infiltrated more than 3 but not exceeding 5 millimeters.

Stage IB can be separated into two categories based on the volume of the tumor and its most profound level of infiltration.

  • Stage IB1: Measuring at no more than 2 centimeters, the tumor has penetrated to a depth of greater than 5 millimeters.
  • Stage IB2: Measuring larger than 2 centimeters yet not exceeding 4, the tumor is of moderate size.
  • Stage IB3: The tumor has grown to a size exceeding 4 centimeters.

Stage I cervical cancer treatment: 

Typically includes a hysterectomy, which is the complete removal of the uterus.

If the cancer is in its early stages, it can be successfully treated with a simple procedure called loop electrosurgical excision procedure (LEEP). During this procedure, abnormal cells are removed from the cervix and the remaining healthy tissue is left intact.

In some cases, radiation therapy might also be used in combination with surgery.

2) Stage 2 cervical cancer treatment 

Stage 2 cervical cancer treatment

The Stage 2 treatment is when cancer has moved beyond the cervix.

The extent of cancer in stage II cervical cancer:

Stage II cervical cancer is more advanced than Stage I, meaning that the cancer cells have spread to other areas of the body beyond the cervix. 

Progressing to its second stage, cervical cancer has metastasized beyond the cervix into either two-thirds of the vagina or adjacent tissue surrounding the uterus.

Symptoms of Cervical cancer in stage II:

Stage 2 cervical cancer can be marked by various symptoms such as unexpected uterine bleeding, discomfort after intimate moments, and unusual changes in menstrual cycles. Additionally, one may encounter atypical vaginal discharge, blood-streaked secretions, and persistent pelvic pain.

Stage II cervical cancer categories:

Stage II cancer is classified based on the extent of its spread throughout the body.

Stage IIA: Unfortunately, cancer has spread from the cervix to two-thirds of the vagina yet luckily it hasn’t infiltrated the tissue surrounding the uterus.

Stage IIA has been further classified based on the dimensions of a tumor:

  • Stage IIA1: The tumor measures a maximum of 4 centimeters.
  • Stage IIA2: The tumor is measurably greater than 4 centimeters in size.

Stage IIB: Cancer has metastasized from the cervix to surrounding uterine tissue.

It can be treated with chemoradiotherapy or surgery in some cases.

This combination of chemotherapy and radiotherapy is the most common avenue for treatment when this occurs.

Stage II cervical cancer treatment:

Stage 2 cervical cancer has advanced, necessitating more extensive treatments that target not just the tumor itself but also nearby tissues. Such therapy frequently combines chemo and radiotherapy to maximize efficiency in destroying malignant cells; depending on your individual circumstances, surgery may be part of the treatment plan as well.

3) Stage 3 cervical cancer treatment

Stage 3 cervical cancer treatment

At Stage III, the cervical cancer has progressed beyond the cervix, invading surrounding structures and potentially affecting lymph nodes within the pelvic or abdominal regions.

The extent of cancer in stage III cervical cancer:

In this stage, cervical cancer is the most advanced form of this disease and requires a more aggressive treatment plan. During the advanced stage (III) of cervical cancer, it has spread to the lower third of the vagina and/or pelvic wall and may have caused kidney issues or affected lymph nodes.

Symptoms of Cervical cancer in stage III:

As cervical cancer stealthily advances to stage III, its tentacles extend down the vaginal canal and infiltrate the pelvic wall.  The journey of stage III cervical cancer brings unexpected challenges, with obstacles like urinary difficulties and the sudden onslaught of leg swelling. These malignant cells don’t stop there; they sneak into the bowels, creating complications during bowel movements.

Stage III cervical cancer treatment:

For individuals suffering from stage III cervical cancer, a combination of external and internal radiation therapy is often recommended. To maximize effectiveness potential chemotherapy drugs like cisplatin or carboplatin can be administered concurrently with the radiotherapy treatment plan.

Stage III cervical cancer categories:

It is important to note that Stage III cervical cancer may be further divided into two categories based on the extent of tumor growth.

Stage IIIA: Cancer has infiltrated the bottom third of the vagina, but it remains contained within and hasn’t gone beyond the pelvic wall.

Stage IIIB: Cancer has infiltrated the walls of the pelvis and is becoming larger, blocking either both or one ureter(s) as well as causing an enlargement or cessation of function in one or two kidneys.

4) Stage 4 cervical cancer treatment

Stage 4 cervical cancer treatment

Stage IV cervical cancer is often discovered through typical pelvic exams or symptoms exhibited by the affected individual.

The extent of cancer in stage IV cervical cancer:

At the intense stage IV, cervical cancer advances past the pelvic region, invading the bladder, rectum lining, or even additional body parts. This formidable stage is further categorized as IVA or IVB, determined by the precise locations affected.

Symptoms of Cervical cancer in stage IV:

Advanced cervical cancer can present itself through alarming indicators such as irregular vaginal bleeding, including after intimacy or menopause, foul-smelling heavy discharge with a bloody appearance, and discomfort in the pelvic region or during intimate moments.

Stage IV cervical cancer treatment:

In Stage 4 cervical cancer, a combination of treatments like surgery, radiation, and chemotherapy might be recommended. Among the weapons of choice are cisplatin, carboplatin, ifosfamide, irinotecan, gemcitabine, paclitaxel, and topotecan – sometimes as lone warriors, other times joining forces in strategic combinations.

 Stage IV cervical cancer categories:

Stage IV cervical cancer can be generally classified into two kinds.

Stage IVA: Unfortunately, cancer has progressed to the bladder or rectum; however, it has not metastasized to other regions of the body.

Stage IVB: Cancer has metastasized and infiltrated other areas of the body.

The goal is to get rid of cervical cancer by destroying abnormal cells. Depending on the cervical cancer stage, treatment might also involve removing lymph nodes near the cervix to prevent cervical cancer from spreading to other parts of the body.

Women need to talk to their doctor about cervical cancer diagnosis and cervical cancer treatment by stage to make sure they get the best possible care. With early detection, cervical cancer can be treated successfully and even cured.

Additional information and support can be found through cervical cancer organizations or online sources. Finding out more about cervical cancer diagnosis and cervical cancer treatment by stage can help provide women with the knowledge they need to make the best decisions for their health.

The Importance of Early Detection and Prevention Strategies 

The Importance of Early Detection and Prevention Strategies

Early detection and awareness are key to cervical cancer prevention. Regular cervical screening, such as Pap tests or HPV testing, can help catch cervical cancer in its early stages before it spreads too far. This is why doctors recommend women get regular cervical screenings starting from the ages of 21-65.

In addition to getting cervical screenings regularly, women should also practice safe sex and get vaccinated against HPV.

The cervical cancer screening, vaccination, and prevention programs available today help reduce cervical cancer deaths significantly. Early detection is the best way to make sure cervical cancer can be treated successfully and cured.

How MedicoExperts Tumor Board Can Help You?

How MedicoExperts Tumor Board Can Help You?

MedicoExperts Tumor Board can provide you with expert opinions and guidance during this difficult time. The tumor board approach for treating cervical cancer is a multidisciplinary approach that involves a team of healthcare professionals from different specialties such as medical oncology, radiation oncology, gynecologic oncology, pathology, radiology, and nursing.

This tumor board approach ensures that the patient receives the most appropriate and effective treatment that has improved patient outcomes exponentially. Before settling on the most suitable treatment protocol for you, the tumor board will exhaustively examine all available protocols. They understand the complexity of this situation and are there for you every step of the way.

Are you ready to consult with the Tumor Board? Simply tap the button below and prepare for a remarkable experience.

Conclusion :

Breaking Down Cervical Cancer Treatment By Stage

Cervical cancer is a serious disease, but there are medical treatments available that offer very promising results. Treatments vary depending upon each patient’s condition and the stage of their cancer. The key is to explore every option, discuss it with your doctor, and decide the best possible treatment route for you.

FAQ :

Q1. What are the early warning signs of cervical cancer?

A. Cervical cancer is often difficult to detect in its early stages, so it’s important to be mindful of any potential signs or symptoms. Some of the early warning signs of cervical cancer may include:
– Abnormal vaginal bleeding, such as after sexual intercourse or between menstrual cycles, or post-menopausal bleeding
– Unusual vaginal discharge, which may be pinkish or tinged with blood
– Pain during sexual intercourse
– Pelvic pain
– Unexplained fatigue or weight loss

Q2. How serious is cervical cancer?

A. Cervical cancer is a very serious condition. It can be life-threatening if not caught early and treated in the right way.

Q3. What can I do to prevent cervical cancer?

A. The best way to prevent cervical cancer is to get regular cervical screenings and get vaccinated against HPV. Practicing safe sex is also important for cervical cancer prevention.

Q4. Is it possible to cure cervical cancer?

A. The answer to this question depends on the stage at which cervical cancer is diagnosed. If detected early, cervical cancer can usually be cured with successful treatment. In fact, precancerous changes in the cervix can often be reversed with appropriate medical intervention. However, if cervical cancer has advanced to a more serious stage, the prognosis is not as encouraging.

Q5. Where can I find more information about cervical cancer diagnosis and cervical cancer treatment by stage?

A. You can visit https://www.medicoexperts.com/cervical-cancer/ to find more information and resources about cervical cancer diagnosis and cervical cancer treatment by stage. You can also contact us with any questions or to book an appointment.

References

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2018789/
https://www.cancer.gov/types/cervical
https://www.ncbi.nlm.nih.gov/books/NBK568385/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9735321/

Author: Dr. Subhamoy Mukherjee

Dr. Subhamoy Mukherjee, Ph.D. (Oncology)
Dr. Subhamoy Mukherjee is a molecular oncologist with experience of working with genomic profiles. He has several years of experience in scientific writing. He takes strong interest in making people aware of different treatment approches in cancer, acute and chronic diseases. He also has interest in innovative approches for treating different mental and physical illnesses.

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