What are the guidelines for staging cervical cancer?

Updated: Feb 12, 2019
  • Author: Cecelia H Boardman, MD; Chief Editor: Warner K Huh, MD  more...
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Answer

In the International Federation of Gynecology and Obstetrics (Federation Internationale de Gynecologie et d’Obstetrique [FIGO]) guidelines for staging, procedures are limited to the following [51] :

  • Colposcopy
  • Biopsy
  • Conization of cervix
  • Cystoscopy
  • Proctosigmoidoscopy

The National Comprehensive Cancer Network (NCCN) guidelines include the addition of CT, MRI, combined PET-CT and surgical staging to guide treatment options. While the NCCN notes that cervical cytology and cervical biopsy generally results in an accurate diagnosis, cone biopsy (conization) is recommended if the cervical biopsy is inadequate to define invasiveness. [8]


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