Standard Treatment When the depth of invasion is less than 3 mm from the surface and there is no vascular space involvement, an abdominal hysterectomy is usually performed. It is not necessary to remove the ovaries in younger women. Five-year survival is 100 percent.
Women with cancer invading greater than 3 mm into the cervix or with cancer less than that, but with blood vessel involvement are treated like women with Stage Ib disease.
Five-Year Survival 80 to 90 percent
Investigational Cervical conization may cure women with lesions that invade less than 3 mm of the cervix and have no blood vessel involvement, if the edges, or margins, of the cone biopsy do not have evidence of disease. This is appropriate therapy for women who want to preserve their fertility or avoid a hysterectomy.
Stage Ib
Lesions are larger than in Stage Ia2 but are still confined to the cervix.
Standard Treatment There are two options for treatment. A radical hysterectomy may be done, with removal of the pelvic lymph nodes on both sides. An alternative is external beam radiation (total dose of 4,000 cGy given in divided doses five days a week for five weeks) followed two weeks later by an intracavitary cesium
