Cervical Cancer - Treatment for CIN and Carcinoma in Situ

Stage IA2. Treatment options for stage IA2 may include:

  • Radical hysterectomy
  • External beam radiation therapy plus brachytherapy (implantation of radioactive pellets)
  • Radical trachelectomy (removal of the cervix but not the uterus) may be an option for some women who want to preserve fertility

Stage IB1. Treatment options for stage IB1 may include:

  • Radical hysterectomy
  • High-dose internal and external radiation therapy
  • Radical trachelectomy

Stage IB2. Treatment options for stage 1B2 may include:

  • Combination of chemotherapy and radiation therapy
  • Radical hysterectomy, followed by radiation therapy (and possibly chemotherapy) if cancer cells are found.

Stage IIA. Treatment options for stage IIA may include:

  • Internal and external radiation therapy
  • Radiation therapy plus chemotherapy
  • Radical hysterectomy followed by radiation therapy and chemotherapy

Stage IIB. Treatment options for stage IIB may include:

  • Combined internal and external radiation therapy along with chemotherapy with cisplatin
  • Other drugs may be given along with cisplatin

Stage III. Treatment options for stage IIIA and stage IIIB may include:

  • Combined internal and external radiation therapy plus chemotherapy Stage IVA.

Review Date: 10/21/2010
Reviewed By: Harvey Simon, MD, Editor-in-Chief, Associate Professor of Medicine, Harvard Medical School; Physician, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org)