News  |  Journals  |  Conferences  |  Blogs  |  Articles  |  Forums  |  Twitter   
 

 Headlines:

 
 

Doctors Lounge - Oncology Answers

"The information provided on www.doctorslounge.com is designed to support, not replace, the relationship that exists between a patient/site visitor and his/her physician."

Back to Oncology Answers List

Forum Name: Cervical Cancer

Question: Cervical cancer Stage III A


 health2010 - Mon Dec 07, 2009 2:10 am

My mother is 70 years old and she was diagnosed for Cervical Cancer Stage IIIA. She took radiotherapy but she can not take chemotherapy because of her weight. She is 36kgs.

Now she has serious back pain and she can not sleep the whole night.

What can we do to help her?
 Dr.M.Aroon kamath - Tue Dec 22, 2009 9:02 pm

User avatar Hi,

Invasive cervical cancer accounts for about 6% of all cancers that afflict women in the United States. Stage IIIA (involves lower third of vagina but, not the pelvic side wall) by the criteria of the International Federation of Gynecology and Obstetrics (FIGO), accounts for less than 2% of all cervical cancer cases.

Over 90% of cervical carcinomas are squamous cell carcinomas. About 5-9% start in glandular tissue (adenocarcinoma). Adenocarcinomas are more difficult to diagnose, but the treatment is as for squamous cell carcinomas and the survival rates, stage for stage, are similar.

There are several types of adenocarcinoma. Approximately 60% are the endocervical cell type, 10% each are of endometrioid and clear cell carcinomas, and 20% are adenosquamous carcinomas.
There are two rare types of cervical carcinoma known as small cell carcinoma and cervical sarcoma. Both have a poor prognosis.I am not aware of which histologic type of tumor your mother suffers from.

Management of stage IIIA patients is by a combination of radiotherapy and chemotherapy.The radiation therapy treatment program includes intracavitary and vaginal brachytherapy plus external beam radiation therapy, with a strong emphasis on individualized treatment.Your mother obviously,did not have chemotherapy.

As your mother now has low back pain,several possibilities ought to be considered before one can formulate a treatment plan,
- re-staging to ascertain the current stage (if it has climbed to stageIIIB by involving the pelvic side wall or has distant mets).If indeed it has progressed, ureteric obstruction/hydronephrosis can occur and may help to explain the back pain-
- tumors can involve the pelvic nerves & thus cause back pain.
- secondaries in bone also need to be excluded (although infrequent).

The most frequent site of metastasis is the vertebral column, particularly the lumbar & thoracic spine, followed by the pelvic bones.Management of painful bony mets is usually by radiotherapy and chemotherapy.

Pain management would depend upon first finding out what is presumably causing her pain and generally a team approach is needed in management of cancer pain.
Best wishes!

|

Check a doctor's response to similar questions

 

advertisement.gif (61x7 -- 0 bytes)
 

Are you a Doctor, Pharmacist, PA or a Nurse?

Join the Doctors Lounge online medical community

  • Editorial activities: Publish, peer review, edit online articles.

  • Ask a Doctor Teams: Respond to patient questions and discuss challenging presentations with other members.

Doctors Lounge Membership Application

 
     

 advertisement.gif (61x7 -- 0 bytes)

 

 

Tools & Services: Follow DoctorsLounge on Twitter Follow us on Twitter | RSS News | Newsletter | Contact us

 
Copyright © 2001-2010
Doctors Lounge.
All rights reserved.

Medical Reference:
Diseases | Symptoms
Drugs | Labs | Procedures
Software | Tutorials

Advertising
Links | Humor
Forum Archive
CME Articles

Privacy Statement
Terms & Conditions
Editorial Board
About us | Email

We subscribe to the HONcode principles of the HON Foundation. Click to verify.We subscribe to the HONcode principles.
Verify here