[Treatment of cervical cancer]

The most important treatment modalities of cervical cancer are surgery and radiotherapy. Due to a rather high proportion of fertile-aged women with cervical cancer, fertility preserving techniques like radical trachelectomy have been developed to replace radical hysterectomy in women desiring pregnancy. On the other hand, laparoscopic operations have gained increased enthusiasm over traditional open surgery. IMRT and CT/MRI-guided brachytherapy techniques have increased the local control rates while minimizing local adverse effects. Except as part of chemoradiation or as neoadjuvant therapy, chemotherapy is seldom used in the primary treatment of cervical cancer, at least in the curative setting.