Cancer of the cervix uteri: 2021 update. (20th October 2021)

• Record Type: Journal Article
• Authors: Bhatla, Neerja; Aoki, Daisuke; Sharma, Daya Nand; Sankaranarayanan, Rengaswamy
• Other Names: Kehoe Sean guestEditor.; Bhatla Neerja guestEditor.
• Is Part Of: International journal of gynaecology and obstetrics. Volume 155(2021)Supplement 1
• Page Start: 28
• Page End: 44
• Publication Date: 2021-10-20
• Subjects: cancer -- cervix -- FIGO Cancer Report -- HPV vaccination -- radiation -- screening -- staging -- surgery; Gynecology -- Periodicals; Obstetrics -- Periodicals; Electronic journals; 618
• DOI: 10.1002/ijgo.13865
• Languages: English
• ISSNs: 0020-7292

Abstract

Abstract: Since the publication of the 2018 FIGO Cancer Report, giant strides have been made in the global effort to reduce the burden of cervical cancer, with the World Health Organization (WHO) rolling out a global strategy for cervical cancer elimination, aiming for implementation by 2030. In over 130 countries, including low‐ and middle‐income countries, HPV vaccination is now included in the national program. Screening has seen major advances with wider implementation of HPV testing. These interventions will take a few years to show their impact. Meanwhile, over half a million new cases are added each year. FIGO's revised staging of cervical cancer (2018) has been widely implemented and retrospective analyses of data based on the new staging have been published. Minimally invasive surgery has been shown to be disadvantageous in women with cervical cancer. This chapter discusses the management of cervical cancer based on the stage of disease, including attention to palliation and quality of life issues. Synopsis: Elimination of cervical cancer is possible by vaccination, screening, and treatment of precancers, and management by surgery and radiation using the revised FIGO staging.