ASCO GUIDELINES Bundle

Invasive Cervical Cancer

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5 Diagnosis Table 2. Evaluation Basic Limited Enhanced Maximal History and physical examination, CBC, cervical biopsy, cone biopsy, and LFT/renal function studies History and physical examination, CBC, cervical biopsy, pathologic review, cone biopsy, and LFT/ renal function studies History and physical examination, CBC, cervical biopsy, pathologic review, cone biopsy, and LFT/renal function studies History and physical examination, CBC, cervical biopsy, pathologic review, cone biopsy, and LFT/renal function studies Imaging (optional in ≤ stage IB1 disease): chest x-ray Imaging (optional in ≤ stage IB1): chest x-ray, CT (specifically CT of abdomen and pelvis for women with advanced- stage disease for treatment planning purposes) Imaging (optional in ≤ stage IB1): chest x-ray, CT, or MRI Imaging (optional in ≤ stage IB1): chest x-ray, CT, or MRI or PET-CT Smoking cessation and counseling ; may offer HIV testing Smoking cessation and counseling ; may offer HIV testing Smoking cessation and counseling ; may offer HIV testing Optional: EUA cystoscopy/ proctoscopy only if suspicion of bladder or rectum invasion by CT or MRI Smoking cessation and counseling ; may offer HIV testing Optional: EUA cystoscopy/ proctoscopy only if suspicion of bladder or rectum invasion by CT or MRI (EB, I, M) (EB, H, M) (EB, H, S) (EB, H, S) NOTE. Bold indicates addition of a recommended action over a previous resource level (eg, in limited setting, a bold action is one that was not recommended in basic).

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