宫颈癌
2025-01-19 22:09:15 1 举报AI智能生成
宫颈癌
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No distant metastasis
Pelvic node <br>positive;<br>Para-aortic lymph <br>node negative
Pelvic EBRT<br>+ concurrent platinum-containing chemotherapy<br>+ brachytherapy<br>± para-aortic lymph node EBRT
Surgical staging of<br>para-aortic lymph nodes
Para-aortic<br>lymph nodes negative
Pelvic EBRT<br>+ concurrent platinum-containing chemotherapy<br>+ brachytherapy
Para-aortic<br>lymph nodes positive
Extended-field EBRT<br>+ concurrent<br>platinum-containing<br>chemotherapy<br>+ brachytherapy
Pelvic node<br>negative;<br>Para-aortic lymph<br>node positive
Para-aortic lymph node biopsy（Preferred） Surgical staging of <br>para-aortic lymph nodes (Alternative)
Para-aortic<br>lymph nodes negative
Pelvic EBRT<br>+ concurrent platinum-containing chemotherapy<br>+ brachytherapy<br>
Para-aortic<br>lymph nodes positive
Extended-field EBRT<br>+ concurrent<br>platinum-containing<br>chemotherapy<br>+ brachytherapy
Pelvic node <br>positive; <br>Para-aortic lymph <br>node positive
Extended-field EBRT<br>+ concurrent platinum-containing chemotherapy<br>+ brachytherapy
Distant metastasis
IVA
Negative<br>adenopathy
Pelvic EBRT<br>+ concurrent platinum-containing chemotherapy<br>+ brachytherapy
Positive<br>adenopathy
Pelvic EBRT<br>+ concurrent platinum-containing chemotherapy<br>+ brachytherapy<br>± para-aortic lymph node EBRT
IVB
Amenable to local treatment
Local treatment:<br>Resection <br>± individualized EBRT<br>or <br>Local ablative therapies <br>± individualized EBRT<br>or<br>Individualized EBRT<br>± concurrent <br>platinum-containing <br>chemotherapy<br>• Consider adjuvant <br>systemic therapy
Not amenable to <br>local treatment
Systemic therapy<br>and/or<br>Best supportive care
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