Didactics-FIGO staging for cerrvix Cancer Dr Jhingran

Video Transcription

Video Summary

The video discusses the new staging guidelines for cervical cancer, focusing on the changes in stage 1B and stage 3. The presenter presents a case of a 46-year-old female with cervical and endometrial involvement, diagnosed with squamous cell carcinoma. The old staging system would have classified her as 2A, but the new staging guidelines classify her as 1B3 due to the tumor size. The presenter emphasizes the importance of radiation therapy in the treatment of locally advanced cervical cancer and highlights the need for brachytherapy in addition to external beam radiation. The optimal doses for different points in the treatment are discussed, with point A requiring 85-95 gray, bladder 80 gray, and rectum 70 gray. The presenter also mentions ongoing international studies exploring the addition of more chemotherapy after chemo-radiation and the use of neoadjuvant chemotherapy. Brachytherapy is highlighted as a crucial component of treatment, with image-guided brachytherapy recommended for better local control and survival.

Keywords

cervical cancer staging guidelines

stage 1B cervical cancer

stage 3 cervical cancer

radiation therapy for cervical cancer

brachytherapy for cervical cancer