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Cervical cancer treatment algorithm - Coggle Diagram

- - - - CIN 2/3
        
        . CKC
        . LEEP
        . Cryotherapy
      - CIN 1
        
        No treatment
      - Cancer
        
        CT, PET
        
        Cystoscopy, Proctoscopy
        
        Intravenous pyelography
        
        Imaging assessment (MRI)
        
        Chest X-Ray
        
        Clinical examination
        
        Treatment
        
        Locally advanced disease
        
        IB3, IIA2. IIB, III, IVA
        
        Platinum based chemoradiotherapy
        
        IB2, IIA1
        
        Surgery ( radical hysterectomy + lymphadenectomy) or radiotherapy
        
        Metastatic disease
        
        IVB
        
        Palliative chemotherapy (carboplatin-PTX) + bevacizumab +/- palliative radiotherapy
        
        Early stage
        
        IA1
        
        Simple hysterectomy +/- lymphadenectomy
        
        IA2, IB1
        
        Radical hysterectomy + pelvic lymphadentocmy
        
        +/- adjuvant chemoradiography (high risk patients)