PET Scans Recommended For All Patients With Advanced Cervical Cancer

April 2017


Country of origin: UK

A guideline for the care and management of patients with cervical cancer recommends a PET-CT scan for all women with advanced and/or recurring cervical cancer. The guideline also emphasises that treating the disease does not have to mean that women will be unable to conceive at a later date.

The guideline from the Scottish Intercollegiate Guidelines Network (SIGN) - entitled ?Management of cervical cancer? - presents a challenge for those charged with organising cancer services to ensure that appropriate access to imaging is available to all. It is estimated that around 150 women a year will require a PET/CT scan to improve their treatment planning, which may result in improved survival and quality of life. PET imaging has been identified as cost-effective as it can avoid inadequate or inappropriate treatment options.

The guideline will give encouragement and hope to many patients who may have assumed that surgical treatment for cervical cancer would mean a hysterectomy that would end their chances of conceiving a child.

Surgical options that retain a woman?s ability to become pregnant, such as radical trachelectomy, cold knife conisation and large loop excision of the transformation zone, are an important component of the SIGN guideline for women with operable cervical cancer. Although the newer surgical procedures have not been tested in randomised trials, data is available from large series carried out at well known institutions.

The guideline aims to ensure that equitable standards of care are available to all women who develop cervical cancer and the social and economic burden it places on women and their carers is minimised. SIGN recommendations are based on systematic reviews of best available evidence.

The SIGN guideline covers the following areas:

? the importance of multidisciplinary working and the role of the clinical nurse specialist
? the importance of signs and symptoms and referral to specialist centres
? histopathological, clinical, and radiological staging
? surgical and non-surgical treatment of cervical cancer including fertility conserving treatment and treatment during pregnancy
? complications of cervical cancer and its treatment including sexual morbidity, lymphoedema and bladder and bowel morbidity
? follow up and detection and management of recurrent disease
? management of complications in advanced disease including renal failure, haemorrhage, thrombosis and malodour
? psychosocial care and support for patients and carers including sources of further information.

Commenting on the guidance, Dr Nadeem Siddiqui, Chair of the SIGN Cervical Cancer Group, said: ?Cervical cancer is a potentially curable disease, although the therapy is intensive. This new guideline will give hope and confidence to many women suffering from this disease that they can recover and go on to live normal and fulfilling lives.

?The need for guidance on the management of cervical cancer was highlighted by variation in practice over different aspects of disease management. When this guideline was proposed not all regions in Scotland had adopted chemotherapy and were still treating women with radiotherapy alone. Not all women were having MRI to assess tumour volume during pre-surgical staging and palliative care services were neither standardised nor available to the same extent in all regions.

?In working on this guideline we have looked at the full range of evidence and research from the widest possible variety of sources. The result is a clear set of clinical guidelines for the assessment and treatment of cervical cancer that will produce a high standard of consistent care across Scotland.?


App launched to help doctors spot cancer signs October 2017 A new app to help doctors with referrals for patients suspected of having cancer has been launched.
It features a quick...
App launched to help spot cancer signs October 2017 A new app to help doctors with referrals for patients suspected of having cancer has been launched.
It features a quick...
Improving Outcomes for Cancer September 2017 Improving outcomes: a strategy for cancer aims to help the reformed NHS deliver cancer outcomes that are amongst the best...
Meditute - web based short tutorials August 2017 Meditute aims to develop, deliver, and monitor the use of high quality, freely distributable medical education. It...
An Easy Guide to Cervical Screening June 2017 A leaflet has been produced by and for women with learning difficulties

An easy guide to cervical screening is...
Reassessing Carcinogenic HPV Types May 2017 Virtually all cases of cervical cancer are caused by persistent infections with a restricted set of human papillomaviruses...
Sebaceous Carcinoma Of The Skin Of The Breast: Case Report May 2017 Sebaceous gland tumours are rare and their presence should be considered as a marker for Muir-Torre Syndrome, alerting to...
Cervical screening website May 2017 The British Society for Colposcopy and Cervical Pathology (BSCCP) has a website able to send online mail shots and provide...
Online Tool for Calculating Colorectal Cancer Risk May 2017 An online tool for calculating colorectal cancer risk in men and women age 50 or older was launched recently, based on a...
Late cancer diagnosis costing lives and money April 2017 The late diagnosis of almost all types of cancer usually means the disease has already spread within the body, making it...
Search by Keyword