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PET and Cervical Cancers
NEWLY DIAGNOSED
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Early Stage (I-IIA)
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Surgery / RT
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>50 % require Adj. Rx
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20-30 % pelvic node +ve
➢
CT/MRI limitations
➢
Can PET identify these
20-30 % patients?
➢
Avoid morbidity of multi-
modality Rx
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Advanced Stage (IIB-IIIB)
➢
Radical RT + CT
➢
Pelvic Radiation
➢
30-45% para aortic node+ve
➢
CT/MRI limitations
➢
Can PET identify at least 30%
➢
Tailor multi-modality treatment
Rx
Knowledge of natural history of GYN Cancers and Lymph Nodal Spread : Vital