[Stage-adapted treatment of cervical carcinoma]

The treatment of cervical carcinoma is stage-dependent. For FIGO stages I-IIA, radical hysterectomy with pelvic lymphonodectomy is usually performed in Germany. The indication for adjuvant radiochemotherapy is made depending upon the risk of recurrence. Total mesometrial resection (TMMR) is a new therapeutic procedure with few side effects that may replace the conventional Wertheim method in the near future. Trachelectomy is an option for preserving childbearing-ability and with correct diagnosis, results similar to that of the classic technique can be achieved. At present, minimally invasive procedures should still be performed at specialized medical centres. For advanced stages, primary combined radiotherapy plus adjuvant radiochemotherapy or primary combined radiochemotherapy are used in addition to surgery.