Can cervical cancer be cured? How to treat it?

Cervical cancer is generally treated in stages. Early treatment is the best option. The survival rate will be much higher if it is treated early. Whether it can be cured depends on whether the patient's condition is severe and whether it has worsened. This is considered from many aspects.

Cervical cancer surgery The treatment of cervical cancer requires comprehensive consideration of clinical staging, patient age, fertility requirements, general condition, medical technology level and equipment conditions, etc., to develop an appropriate individualized treatment plan. Generally, surgery and radiotherapy are used as the main treatment, with chemotherapy as an auxiliary treatment method.

The advantage of surgical treatment of cervical cancer is that young patients can preserve ovarian and vaginal function. It is mainly used for patients with early cervical cancer (stage IA-II A).

1. Stage IA1: Patients without lymphovascular space infiltration undergo extrafascial hysterectomy; patients with lymphovascular space infiltration are treated as stage IA2;

2. Stage I A2: modified radical hysterectomy and pelvic lymphadenectomy;

3. Stage I B1 and II A1: Radical hysterectomy and pelvic lymphadenectomy, with para-aortic lymph node sampling if necessary;

4. Stage I B2 and II A2: Radical hysterectomy and pelvic lymph node resection and para-aortic lymph node sampling, or total hysterectomy after concurrent radiotherapy and chemotherapy. There is also the use of neoadjuvant chemotherapy followed by radical hysterectomy. Chemotherapy can shrink the lesions to facilitate surgery and reduce surgical complications, but the long-term efficacy needs further verification.

Premenopausal women with squamous cell carcinoma who are less than 45 years old can retain their ovaries. For young patients who wish to preserve their fertility, cervical conization can be performed for stage IA1; for stage IA2 and stage IB1 with a tumor diameter of <2 cm, radical cervical resection and pelvic lymph node dissection can be performed.