Special conditions and follow-up in cervical cancer

Abstract

The present chapter reviews cervical cancer (CC) management in conditions of various co-morbidities and provides general guidelines for the proper follow- up of patients. We address the most common special management conditions: renal insufficiency, senility, fragility, AIDS, and pregnancy. Renal insufficiency and obstruction require patient management to be further adjusted compared to cases with a neoplasia only. The general population is living longer, thus producing a considerable increase in the prevalence of chronic degenerative diseases, such as diabetes, hypertension, and metabolic syndrome. Therefore, we are facing more cases with co-morbidities, which necessitates rethinking therapeutic options. Both geriatric and non-geriatric patients with CC present with morbidities and conditions that limit the use of cisplatin chemotherapy, which is the standard treatment. Other equally relevant challenges in treating patients with CC include AIDS and pregnancy; here, we aim to elucidate general principles that can orient patient management in these unique situations. Finally, we focus on describing the ideal time of and requirements for adequate follow-up and reincorporation into daily life.