Cervical cancer

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"cervical cancer"[MeSH Terms] AND ("screening" OR "treatment" OR "prevention")

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cervical cancer 2025 2026 guidelines screening treatment updates

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Cervical cancer in detail point wise manner

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"cervical cancer"[MeSH Terms] AND ("immunotherapy" OR "pembrolizumab" OR "bevacizumab")

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cervical cancer FIGO 2018 staging treatment guidelines 2025

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This is a fully detailed, point-wise breakdown of cervical cancer covering all major domains. Here is a quick navigation summary:
SectionKey Highlights
Epidemiology3rd most common gynecologic cancer; >99% HPV-associated; median age 48
Etiology & RiskHPV 16/18 = 70% of cases; smoking, HIV, OCP use, multiparity
PathobiologyE6 degrades p53; E7 degrades pRB; persistent infection required for malignancy
Precursor LesionsCIN I/II/III (LSIL/HSIL); HSIL 30% regress, 10% → invasive carcinoma
HistologySCC 80%, adenocarcinoma 15%, neuroendocrine <5%
SpreadLocal → vagina/parametria/bladder; lymphatic → pelvic/para-aortic nodes
SymptomsPostcoital bleeding, discharge, pelvic pain (early stages often silent)
FIGO 2018 StagingIA1 → IVB; now includes lymph node metastasis in Stage IIIC
TreatmentEarly: radical hysterectomy (open); advanced: cisplatin + EBRT + brachytherapy; metastatic: chemo + bevacizumab ± pembrolizumab
5-yr SurvivalStage I ~90%, Stage IV <20%
Screening (2025-26)Self-collected hrHPV now endorsed; primary HPV testing q5 years preferred for ages 30-65
Prevention9-valent HPV vaccine (ages 9-26); WHO 90-70-90 elimination strategy
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