ABSTRACT
Stage IB —IIA cervical carcinoma can be treated with radical hysterectomy or ra diation therapy with similar efficacy (please refer to Chapters 9 and 20B). The patient and physician therefore are faced with treatment options for these types o f cancers. The criteria to select surgery versus radiation therapy is a controversial topic among both the surgeons and the radiation oncologist. Factors considered in this treatment deci sion include age, patient weight, tumor size, potential need for adjuvant radiotherapy/ chemotherapy and presence o f other comorbid conditions. See Figure 20C.1 as an example o f a class III radical hysterectomy specimen-notice the additional vaginal margin and the inclusion o f the parametrial tissue laterally.
