Treatment

Treatment for cervical cancer

Cervical cancer is often treatable.

The treatment you have will depend on:

• the size and type of cervical cancer you have
• where the cancer is
• if it has spread
• your general health

It will usually include surgery, chemotherapy or radiotherapy. It may also include treatment with targeted medicines to treat the cancer.

The specialist care team looking after you will:

• explain the treatments, benefits and side effects
• work with you to create a treatment plan that's best for you
• talk to you about the impact that treatment may have on your fertility

You'll have regular check-ups during and after any treatments. You may also have tests and scans.

If you have any symptoms or side effects that you're worried about, talk to your specialists. You do not need to wait for your next check-up.

Surgery

Surgery is the often the main treatment for cervical cancer, especially if the cancer is found early.

There are several surgeries used to treat cervical cancer.

Different surgeries involve removing:

• part of the cervix – only possible if the cancer is very small
• the cervix and upper part of the vagina – the womb is not removed, so it's possible to get pregnant in the future
• the cervix and womb (hysterectomy) – can include removing the ovaries and fallopian tubes
• the cervix, womb, ovaries and fallopian tubes, and all or parts of the bladder, bowel, vagina or rectum – this is only offered if the cancer has come back and other treatment is not possible

You may need to have some lymph nodes, which are part of the body’s drainage system, removed.

Recovery from these surgeries can take a long time depending on the surgery. The specialist team looking after you will discuss all the benefits and side effects.

Chemotherapy

Chemotherapy uses medicines to kill cancer cells.

You may have chemotherapy for cervical cancer:

• with radiotherapy (chemoradiotherapy) as the main treatment for your cervical cancer
• before surgery to help make the cancer smaller
• after surgery (usually with radiotherapy) to help stop the cancer coming back
• if the cancer is advanced, has come back or if it’s spread to other parts of your body

Radiotherapy

Radiotherapy uses high-energy rays of radiation to kill cancer cells.

You may have radiotherapy for cervical cancer:

• as the main treatment if the cancer is large or has spread
• after surgery, usually with chemotherapy (chemoradiotherapy), to help stop the cancer coming back
• to help improve symptoms, like bleeding

Radiotherapy for cervical cancer can be given from outside or inside the body (brachytherapy).

Treatment with targeted medicines

If you have advanced cervical cancer or the cancer has come back, you may have treatment with a targeted medicine called bevacizumab (Avastin).

The aim of this medicine is to help make the cancer smaller or stop it getting any larger, not to cure the cancer.

What happens if you've been told your cancer cannot be cured

If you have advanced cervical cancer, it might be very hard to treat. It may not be possible to cure the cancer.

If this is the case, the aim of your treatment will be to limit the cancer and its symptoms, and help you live longer.

Finding out the cancer cannot be cured can be very hard news to take in.

You'll be referred to a special team of doctors and nurses called the palliative care team or symptom control team.

They'll work with you to help manage your symptoms and make you feel more comfortable.

The clinical nurse specialist or palliative care team can also help you and your loved ones get any support you need.