宫颈癌
2025-01-19 22:09:15 0 举报AI智能生成
宫颈癌
作者其他创作
大纲/内容
No distant metastasis
Pelvic node
positive;
Para-aortic lymph
node negative
positive;
Para-aortic lymph
node negative
Pelvic EBRT
+ concurrent platinum-containing chemotherapy
+ brachytherapy
± para-aortic lymph node EBRT
+ concurrent platinum-containing chemotherapy
+ brachytherapy
± para-aortic lymph node EBRT
Surgical staging of
para-aortic lymph nodes
para-aortic lymph nodes
Para-aortic
lymph nodes negative
lymph nodes negative
Pelvic EBRT
+ concurrent platinum-containing chemotherapy
+ brachytherapy
+ concurrent platinum-containing chemotherapy
+ brachytherapy
Para-aortic
lymph nodes positive
lymph nodes positive
Extended-field EBRT
+ concurrent
platinum-containing
chemotherapy
+ brachytherapy
+ concurrent
platinum-containing
chemotherapy
+ brachytherapy
Pelvic node
negative;
Para-aortic lymph
node positive
negative;
Para-aortic lymph
node positive
Para-aortic lymph node biopsy（Preferred） Surgical staging of
para-aortic lymph nodes (Alternative)
para-aortic lymph nodes (Alternative)
Para-aortic
lymph nodes negative
lymph nodes negative
Pelvic EBRT
+ concurrent platinum-containing chemotherapy
+ brachytherapy
+ concurrent platinum-containing chemotherapy
+ brachytherapy
Para-aortic
lymph nodes positive
lymph nodes positive
Extended-field EBRT
+ concurrent
platinum-containing
chemotherapy
+ brachytherapy
+ concurrent
platinum-containing
chemotherapy
+ brachytherapy
Pelvic node
positive;
Para-aortic lymph
node positive
positive;
Para-aortic lymph
node positive
Extended-field EBRT
+ concurrent platinum-containing chemotherapy
+ brachytherapy
+ concurrent platinum-containing chemotherapy
+ brachytherapy
Distant metastasis
IVA
Negative
adenopathy
adenopathy
Pelvic EBRT
+ concurrent platinum-containing chemotherapy
+ brachytherapy
+ concurrent platinum-containing chemotherapy
+ brachytherapy
Positive
adenopathy
adenopathy
Pelvic EBRT
+ concurrent platinum-containing chemotherapy
+ brachytherapy
± para-aortic lymph node EBRT
+ concurrent platinum-containing chemotherapy
+ brachytherapy
± para-aortic lymph node EBRT
IVB
Amenable to local treatment
Local treatment:
Resection
± individualized EBRT
or
Local ablative therapies
± individualized EBRT
or
Individualized EBRT
± concurrent
platinum-containing
chemotherapy
• Consider adjuvant
systemic therapy
Resection
± individualized EBRT
or
Local ablative therapies
± individualized EBRT
or
Individualized EBRT
± concurrent
platinum-containing
chemotherapy
• Consider adjuvant
systemic therapy
Not amenable to
local treatment
local treatment
Systemic therapy
and/or
Best supportive care
and/or
Best supportive care
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