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Current Oncology Reports

, 19:51 | Cite as

Early Cervical Cancer: Current Dilemmas of Staging and Surgery

  • Tiffany Zigras
  • Genevieve Lennox
  • Karla Willows
  • Allan CovensEmail author
Gynecologic Cancers (NS Reed, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Gynecologic Cancers

Abstract

Purpose of Review

Advances in cervical cancer screening and treatment have resulted in high cure rates in developed countries for early-stage disease. Current research focuses on minimizing morbidity and maximizing quality of life.

Recent Findings

Imaging has been disappointing in identifying small volume metastases. Sentinel lymph node biopsy represents a significant advantage with high sensitivity, low false negative rates, reduced morbidity, and equivalent survival in recent studies compared to pelvic lymphadenectomy. Non-radical surgical options are currently being investigated for early cervical cancer in a number of large prospective studies in patients at low risk for metastases.

Summary

Evidence suggests that sentinel lymph node biopsy and non-radical surgery are safe approaches for the staging and management of early cervical cancer in appropriately selected patients with the potential to significantly reduce treatment-related morbidity.

Keywords

Early cervical cancer Uterine cervical neoplasm Cervical cancer staging Sentinel lymph nodes Pelvic lymphadenectomy Fertility-sparing surgery 

Notes

Compliance with Ethical Standards

Conflict of Interest

Tiffany Zigras, Genevieve Lennox, Karla Willows, and Allan Covens declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

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Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  • Tiffany Zigras
    • 1
  • Genevieve Lennox
    • 1
  • Karla Willows
    • 1
  • Allan Covens
    • 2
    Email author
  1. 1.Division of Gynecologic Oncology, Department of Obstetrics and GynecologyUniversity of TorontoTorontoCanada
  2. 2.Division of Gynecologic Oncology, T2051 Odette Cancer CentreUniversity of TorontoTorontoCanada

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