ASCO GUIDELINES Bundle

Invasive Cervical Cancer

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11 Pelvic RT plus concurrent low-dose platinum-based chemotherapy plus brachytherapy (EB , H, S) Pelvic RT plus concurrent low- dose platinum-based chemotherapy plus brachytherapy plus adjuvant hysterectomy; adjuvant hysterectomy is not recommended except if evidence of residual disease (EB, I, W) Pelvic RT plus concurrent low-dose platinum-based chemotherapy plus brachytherapy (EB , H, S) Pelvic RT plus concurrent low- dose platinum-based chemotherapy plus brachytherapy plus adjuvant hysterectomy; adjuvant hysterectomy is not recommended except if evidence of residual disease (EB, I, W) Radical hysterectomy plus PLND ± para- aortic LN samplingc and adjuvant RT or chemoRT if needed (EB, L, W) Radical hysterectomy plus PLND ± para-aortic LN sampling and adjuvant RT or chemoRT if needed (plus RT ± concurrent low-dose platinum-based chemotherapy aer hysterectomy if risk factors) c (EB/CB, L, W) Enhanced Maximal

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