This accomplished by way of a safety plan. The safety plan is to be signed by the parents, the protectors grandparents and DSS, and is valid for only 90 days. But the investigation must be completed within 45 days, unless this time period is extended.
The stage of a cervical cancer is the most important factor in choosing treatment. But other factors can also affect your treatment options, including the exact location of the cancer within the cervix, the type of cancer squamous cell or adenocarcinomayour age and overall health, and whether you want to have children.
Stage 0 carcinoma in situ Although the AJCC staging system classifies carcinoma in situ CIS as the earliest form of cervical cancer, doctors often think of it as a pre-cancer. That is because the cancer cells in CIS are only in the surface layer of the cervix; they have not grown into deeper layers of cells.
All cases of CIS can be cured with the right treatment. This includes follow-up with regular Pap tests and in some instances with colposcopy.
Treatment options for squamous cell carcinoma in situ include: Hysterectomy Cone biopsy a possible option for women who wish to have children. The cone specimen must have no cancer cells at the edges, and the woman must be closely watched after treatment. Once the woman has finished having children, a hysterectomy is recommended.
Stage IA1 Treatment for this stage depends on whether or not you want to continue to be able to have children maintain fertility and whether or not the cancer has grown into blood or lymph vessels called lymphovascular invasion.
Treatment options for women who want to maintain fertility: A cone biopsy is the preferred procedure for women who want to have children after the cancer is treated. If the edges of the cone biopsy have cancer cells called positive marginsthen cancer may have been left behind.
This can be treated with a repeat cone biopsy or a radical trachelectomy removal of the cervix and upper vagina. A radical trachelectomy is preferred if the cancer has grown into blood or lymph vessels. A simple total hysterectomy may be an option if the cancer shows no lymphovascular invasion.
If the cancer has grown into blood or lymph vessels, you might need a radical hysterectomy along with removal of the pelvic lymph nodes. Stage IA2 Treatment for this stage depends in part on whether or not you want to continue to be able to have children maintain fertility.
External beam radiation therapy EBRT to the pelvis plus brachytherapy Radical hysterectomy with removal of pelvic lymph nodes and sampling of the para-aortic lymph nodes If none of the lymph nodes are found to have cancer, radiation may still be discussed as an option if the tumor is large, if the tumor has grown into blood or lymph vessels, or if the tumor is invading the surrounding connective tissue that supports organs such as the uterus, bladder, vagina the stroma.
If the cancer has spread to the tissues next to the uterus called the parametria or to any lymph nodes, or if the tissue removed has positive margins, radiation EBRT with chemotherapy is usually recommended.
The doctor may also advise brachytherapy after the combined chemo and radiation are done. Stages IB and IIA The main treatment options are surgery, radiation, or radiation given with chemo concurrent chemoradiation.
Radical hysterectomy with removal of lymph nodes in the pelvis and some lymph nodes from the para-aortic area If none of the lymph nodes are found to have cancer, radiation may still be discussed as an option if the tumor is large, if the tumor has grown into blood or lymph vessels, or if the tumor is invading the surrounding connective tissue that supports organs such as the uterus, bladder, vagina the stroma.
Radiation using both brachytherapy and external beam radiation therapy may be an option if a woman is not healthy enough for surgery or if she decides they do not want surgery Chemotherapy chemo may be given with the radiation concurrent chemoradiation.
This is usually the standard treatment. The chemo may be cisplatin or cisplatin plus fluorouracil. The radiation therapy includes both external beam radiation and brachytherapy. Radical hysterectomy with pelvic lymph node dissection and para-aortic lymph node sampling: If cancer cells are found in the removed lymph nodes, or in the edges of the tissue removed positive marginssurgery may be followed by radiation therapy, which is often given with chemo concurrent chemoradiation.
Some doctors recommend radiation given with chemotherapy first followed by a hysterectomy.
Stage IVB At this stage, the cancer has spread out of the pelvis to other areas of the body. Stage IVB cervical cancer is not usually considered curable.
Most standard chemo regimens include a platinum drug cisplatin or carboplatin along with another drug such as paclitaxel Taxolgemcitabine Gemzaror topotecan.Treatment of Human relationship in 'A Passage to India' and 'Seize the Day' In a world devoid of spirituality and notorious for its treatment of human relationship, these words should very well have been the maxim.
But is it really the case? It can be observed that the native Indian society is divided into a few classes. These classes. With that being said, she has been diagnosed with severe PTSD, anxiety and depression. The case manager has said art therapy would be great for her but the referral has been in for months now.
The traetment of classes in She stoops to conquer. Words Jun 27th, 5 Pages. The treatment of social classes in: She stoop to conquer by Oliver Goldsmith The social class theme is central.
The decisions the characters make and how they see one another, . While many snakes are harmless, the bite of some species can be poisonous and even deadly. Common species of poisonous snakes in the United States include.
Heart failure is a condition in which the heart cannot pump enough blood to meet the body's needs. Learn more about causes, risk factors, screening and prevention, signs and symptoms, diagnoses, and treatments for heart failure, and how to participate in clinical trials.
And if a baby gets chickenpox in the first year of life, he or she has a higher risk for shingles during childhood. footnote 1 Postherpetic neuralgia (PHN) is a common complication of shingles that lasts for at least 30 days and may continue for months or years.