Cervical Cancer - Treatment Overview
Treatment during pregnancy
Cancer treatment during pregnancy is the same as for nonpregnant women. But when you'll get treatment may depend on the stage of your cancer and what trimester you are in. For example, if you have early-stage cervical cancer and you are in your third trimester, your treatment may be delayed until after you deliver your baby. Treatment may cause problems such as an early delivery or even the loss of the baby.
After treatment for cervical cancer, it is important to receive follow-up care. Your oncologist or gynecologic oncologist will schedule regular checkups that will include:2
- A pelvic exam and Pap test every 3 to 6 months for the first 2 years.
- After the first 2 years, a pelvic exam and Pap test every 6 months for another 3 to 5 years.
- After 5 years, a pelvic exam and Pap test every year.
Follow-up tests that may be recommended by your oncologist include an abdominal and pelvic computed tomography (CT) scan. This test is to see if cancer has spread to other organs in the belly or pelvis.
Cervical cancer that comes back
Cervical cancer can return, or recur, after treatment. The chance that your cancer will return depends on the stage of the initial cancer. Cancer found early is less likely to come back than cancer found at a later stage.
Your long-term outcome (prognosis) for recurrent cervical cancer depends greatly on how much the cancer has spread when the recurrence is diagnosed.
Treatments include surgery and chemoradiation or chemotherapy to relieve symptoms. Your doctor may talk with you about being in a clinical trial. Clinical trials for cervical cancer are studying therapies that target cancer cells.