Gynecologic cancer staging based on ten teachers book
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This document summarizes cancer staging and management for four types of gynecological cancers: cervical cancer, vulvar cancer, endometrial cancer, and ovarian cancer. For each cancer type, it lists the stages from 0 to 4, with descriptions of the extent of cancer for each stage. It then provides recommendations for surgical procedures and/or other treatments for each stage. The goal of staging and treatment is to remove all cancer while preserving organ function depending on the extent of disease.
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Gynecologic cancer staging based on ten teachers book
- 1. Vulva cancer stages and management: Cervical cancer stages and management: In pregnancy 0 CIS - Follow Q 3 months; 6-8 weeks postpartum 1 Limited to cervix - - A1 < 3 mm deep Total simple hysterectomy - A2 3-5 mm deep (microinvasion) Modified radical hysterectomy Same as CIS B > 5 mm deep Radical hysterectomy or radiation < 24 wks terminate pregnancy > 24 wks deliver at 33 wks, then Tx 2 Adjacent to cervix - Same A Upper 2/3 vagina Radical hysterectomy or radiation Same B parametria Chemo and radiotherapy Same 3 Further from the cervix Same Same A Lower 1/3 vagina Same Same B Pelvic wall/kidney Same Same 4 Furthest from the cervix Same Same A Bladder or rectum Same Same B Distant mets Same Same 0 CIS Wide local excision 1 Limited to vulva < 2 cm - A < 1 mm deep Wide local excision B > 1 mm deep Modified radical vulvectomy (MRV) 2 Limited to vulva > 2 cm (MRV)Ipsilateral inguinal dissection 3 Spreadto urethra,vagina,anus. Unilateral LN (MRV) Bilateral inguinaldissection and radiotherapy 4 Mets - A Bladder, rectum, pelvic wall, bilateral LN Surgery and radiotherapy B Distant mets Surgery and radiotherapy
- 2. Endometrial cancer stages and management: 1 Limited to uterus TAH and BSO LN dissection -A < 50% myometrium B > 50% myometrium 2 Extension to cervix Radiation 3 Adjacent to uterus Radiation and chemotherapy A Serosa or adenexa B Vagina C Pelvis or para-aortic LN 4 Further from uterus A Bladder or rectum B Distant mets Ovarian cancer stagesand management: 1 Limited to ovaries A 1 ovary, intact capsule, -ve cytology B 2 ovaries, intact capsules, -ve cytology C 1 or 2 ovaries, ruptured capsule, +ve cytology 2 Pelvic extension A Uterus or tubes B Other pelvic structures C B + positive cytology 3 Peritoneal extension A Microscopic mets B Macroscopic mets < 2 cm C Macroscopic mets > 2 cm 4 Distant mets A Bladder or rectum B Distant mets