You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information.
What is Treatment of choice in a patient with carcinoma cervix stage II is : and explain in detail?
Ans. is d i.e. All of the above Management of stage II cancer. They can be managed either with surgery or radiation therapy Stage II a Type III Radical Hysterectomy with pelvic and para -- aoic lymphadenectomy. Or Primary chemoradiation. Stage II b Primary chemoradiation Chemoradiation : Concurrent use of chemotherapy and radiation have given good results. The use of chemotherapy to sensitize cells to radiation therapy has shown to improve loco-regional control. Most effective chemotherapy is cisplatin based chemotherapy. Radiotherpav : Radiation treatment plan consists of a combination of : External teletherapy to treat the regional lymphnodes and to decrease the tumour volume. Brachytherapy delivered by intracavitary application to provide a treatment boost to the central tumour. Intracavitary therapy alone may be used in patients with early disease with negligible incidence of lymph node metastasis. Surgery Radical hysterectomy for stage II A tumor is usually selected for young women with low BMI and who have concern about altered sexual functioning following radiotherapy. Also know 4 cm Type III radical hysterectomy with pelvic and para-aoic lymphadenectomy or primary chemoradiation " align="left" height="195" width="494">Management of Invasive Cancer of the Cervix