Didactics-Locally Advanced Cervical Cancer

Video Transcription

Video Summary

The video discusses locally advanced cervical cancer and the importance of radiation therapy in its treatment. The case presented involves a 47-year-old female with vaginal discharge and an exophytic lesion involving the entire cervix. Biopsies confirmed a poorly differentiated squamous cell carcinoma in both the cervix and endometrium. The video explains the new staging system for cervical cancer, which includes the addition of stage 3C for positive pelvic nodes. The recommended treatment for locally advanced cervical cancer, particularly stage 3C1, is radiation therapy. The video emphasizes the need to correctly administer radiation therapy, including both external beam and brachytherapy, within 60 days of diagnosis. The correct dose for locally advanced tumors is 85 to 95 gray, and it should include brachytherapy. The video also mentions studies on the effectiveness of concurrent chemotherapy with radiation therapy. The use of brachytherapy is emphasized throughout the video and its importance in improving survival rates. The video concludes by mentioning ongoing trials and advancements in image-guided brachytherapy. [No credits granted]

Asset Subtitle

Dr. Anuja Jhingran
December 2019

Keywords

locally advanced cervical cancer

radiation therapy

new staging system

external beam

brachytherapy