gynecology and obstetrics
Cervical Cancer
Key Points
Consider cervical cancer if women have abnormal cervical cancer screening (HPV or Pap test) results, visible cervical lesions, or abnormal, particularly postcoital, vaginal bleeding. Do a colposcopy and/or biopsy to further evaluate and confirm the diagnosis. Stage cervical cancer clinically, using biopsy, pelvic examination, and available imaging, including chest x-ray; also use ultrasonography, PET/CT, MRI, or CT and surgical pathology, if available. Treatment is surgical resection for early-stage cancer, radiation therapy plus chemotherapy for locally advanced cancer, and chemotherapy for metastatic and recurrent cancer. Recommend HPV vaccination for children, before first sexual activity. 