医学
近距离放射治疗
阶段(地层学)
宫颈癌
子宫颈
放射治疗
肿瘤科
放射肿瘤学
放化疗
介绍(产科)
普通外科
癌症
妇科
内科学
外科
古生物学
生物
作者
Idalid Franco,Akila N. Viswanathan
出处
期刊:International Journal of Gynecological Cancer
[BMJ]
日期:2022-03-01
卷期号:32 (3): 231-238
被引量:1
标识
DOI:10.1136/ijgc-2021-002491
摘要
Worldwide, stage III-IVA carcinomas of the uterine cervix comprise a significant proportion of cases at presentation, and have a higher rate of recurrence and worse overall survival. This review will discuss the epidemiology, prevention strategies, clinical presentation, and treatment recommendations for stage III-IVA cervical cancer. The focus will be on the role of radiation therapy, concurrent chemoradiotherapy, and brachytherapy, including the potential benefits and anticipated toxicities. The unique challenges and considerations of fistula formation and approaches to management will be highlighted, and follow-up care and future directions discussed. As low and middle income countries bear the highest burden of advanced stage carcinoma of the uterine cervix, this review will address the unique needs of global communities.
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