Cervical cancer
"cervical cancer"[MeSH Terms] AND ("screening" OR "treatment" OR "prevention")
cervical cancer 2025 2026 guidelines screening treatment updates
Cervical cancer in detail point wise manner
"cervical cancer"[MeSH Terms] AND ("immunotherapy" OR "pembrolizumab" OR "bevacizumab")
cervical cancer FIGO 2018 staging treatment guidelines 2025
| Section | Key Highlights |
|---|---|
| Epidemiology | 3rd most common gynecologic cancer; >99% HPV-associated; median age 48 |
| Etiology & Risk | HPV 16/18 = 70% of cases; smoking, HIV, OCP use, multiparity |
| Pathobiology | E6 degrades p53; E7 degrades pRB; persistent infection required for malignancy |
| Precursor Lesions | CIN I/II/III (LSIL/HSIL); HSIL 30% regress, 10% → invasive carcinoma |
| Histology | SCC 80%, adenocarcinoma 15%, neuroendocrine <5% |
| Spread | Local → vagina/parametria/bladder; lymphatic → pelvic/para-aortic nodes |
| Symptoms | Postcoital bleeding, discharge, pelvic pain (early stages often silent) |
| FIGO 2018 Staging | IA1 → IVB; now includes lymph node metastasis in Stage IIIC |
| Treatment | Early: radical hysterectomy (open); advanced: cisplatin + EBRT + brachytherapy; metastatic: chemo + bevacizumab ± pembrolizumab |
| 5-yr Survival | Stage I ~90%, Stage IV <20% |
| Screening (2025-26) | Self-collected hrHPV now endorsed; primary HPV testing q5 years preferred for ages 30-65 |
| Prevention | 9-valent HPV vaccine (ages 9-26); WHO 90-70-90 elimination strategy |