Stage IV is defined as cancer that has spread to distant organs beyond the true pelvis or involves the lining of the bladder or rectum. Stage IVa means that a biopsy has shown that either the lining of the bladder or the rectum have become involved.
Standard Treatment This stage is usually treated with radiation therapy or by the surgical removal of the uterus , the vagina and the bladder and/or rectum (pelvic exenteration).
Five-Year Survival 20 to 30 percent
Investigational Radiation therapy given in conjunction with chemotherapy .
Stage IVb
In Stage IVb there is spread to distant organs.
Standard Treatment Radiation may be used to relieve the symptoms of pelvic disease or isolated distant metastases.
