insertion for two days and usually by a second one two weeks later. Both options result in an equal rate of cure. The choice depends on available local expertise, the age of the patient and her medical condition.
Small lesions are usually operated on while large ones are treated with radiation. Women who have metastatic disease in the removed pelvic lymph nodes are frequently treated with five weeks of external beam radiation therapy to the pelvis following surgery.
Large lesions confined to the cervix may be treated with external beam radiation five days a week for five weeks, followed by a cesium insertion two weeks later, followed six weeks after that by an abdominal hysterectomy and surgical staging .
Five-Year Survival 80 to 90 percent
Stage IIa
A Stage II cancer is one that either extends beyond the cervix (but not to the pelvic sidewall) or involves the vagina (but not the lower third). In Stage IIa there is no obvious involvement of the tissue surrounding the cervix (parametrial), but there is involvement of the upper two thirds of the vagina.
Standard Treatment Treatment with either a radical hysterectomy and removal of the pelvic lymph nodes or external beam radiation therapy followed by either one or two insertions of intracavitary cesium is standard.
