Modern approaches of the diagnostics and treatment of cervical cancer | Ukrainian Medical Journal

Objective — to determine the features of the application of new approaches to the management and treatment of patients with cervical cancer (CC), taking into account the stage of the disease, the main prognostic factors and the spread of the disease, and to the management of patients with recurrent disease and the fertility-sparing treatment of reproductive age women. Object and methods. 2015–2020 scientific publications (PubMed Search), data of the patients with CC who treated at the National cancer institute (Kyiv), clinical guidelines for the management of patients with malignancies of the European Society for Medical Oncology (ESMO) 2016, clinical guidelines for the management of patients with CC of the European Society of Gynaecological Oncology/European Society for Radiotherapy and Oncology/European Society of Pathology (ESGO)/ESTRO/ESP) 2018 had been investigated. Results and conclusions. Today the main prognostic factors of CC have been formed, which allow to make a plan of management of patients and to choose an adequate treatment. Diagnostic examination of lymph nodes and distant metastases for CC is mandatory. The main methods of treatment for patients with CC are surgical treatment and radiation therapy. Surgical treatment is more commonly used to the initial stages of CC but radiation therapy is more commonly used to advanced cancer. At the present time, approaches of the management and treatment of women of reproductive age who wish to preserve fertility and pregnant women with CC have an important role.

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