Treatment of latestage carcinoma lIb or later

Cisplatin is usually administered weekly as a single agent because of its ease of delivery and favorable toxicity profile. Women with locally advanced cervical cancer in North America should receive cisplatin-based chemotherapy concurrent with radiation therapy.

X. Long term monitoring. Approximately 35% of patients will have persistent or recurrent disease. A common approach includes examinations and Pap tests every 3-4 months for the first 3 years, decreasing to twice yearly in the fourth and fifth years, with and chest X-rays annually for up to 5 years.

References: See page 184.

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