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The current management of cervical cancer

Department of Obstetrics and Gynaecology, University Hospitals of Leicester, Leicester Royal Infirmary, Leicester, LE1 5WW, UK. email: jafaru.abu{at}uhl-tr.nhs.uk (corresponding author)

David Nunns, MD MRCOG, Consultant Gynaecological Oncologist

Nottingham City Hospital, Nottingham, UK.

Quentin Davies, MD FRCS MRCOG, Consultant Gynaecological Surgeon

Leicester Royal Infirmary, Leicester, UK.

David Ireland, MD FRCOG, Consultant Gynaecological Surgeon

Leicester Royal Infirmary, Leicester, UK.

Cervical cancer is a common cause of death worldwide. In the developed world, cervical cancer screening has successfully reduced the incidence of and mortality from the disease. Mortality remains high among developing nations. Over the past decade, there have been various developments in management strategies, based on currently available evidence. This review explores such evidence and recommends current management strategies, including fertilitysparing surgical options for early-stage disease.

Keywords Keywords / cervical cancer / cervical intraepithelial neoplasia (CIN) / human papilloma virus (HPV) / large loop excision of the transformation zone (LLETZ) / Saling procedure / sentinel lymph nodes