Oncology and Fibroids
Treatment of Ca Cervix IIIB include (AIIMS Nov. 2012)
1. Risk factors for Ca cervix/CIN:
a. Young age at fi rst intercourse (<16 years)
b. Multiple sexual partners
c. Cigarette smoking
e. High parity
f. Low socio-economic status
g. Human papillomavirus (HPV) infection
2. Stage-wise treatment for Ca cervix
3. All stages (I–IV) are radiosensitive.
4. Stages of Ca cervix that are operable (radical/Wertheim’s hysterectomy) are 1A2, IB, and IIA.
5. Stages IIB–IV are not operable and have to be treated with RT only (brachyand teletherapy)
6. Cisplatin is given before RT as a radiosensitizer, hence the preferred terminology is CTRT (concurrent chemo & radiotherapy)