1st February 2003
Singapore Ministry of Health - National Government Agency [Non-U.S.]
Summary,


GUIDELINE OBJECTIVE(S)

To provide recommendations for the screening, diagnosis, classification, staging, management, and treatment of patients with cervical cancer

TARGET POPULATION

• Women in the general population in Singapore (Prevention; Screening)
• Women with cervical cancer in Singapore (Diagnosis; Evaluation; Risk Assessment/Prognosis; Management; Treatment)

INTERVENTIONS AND PRACTICES CONSIDERED

Screening/Evaluation/Diagnosis

1. Population screening
2. Diagnosis based on histopathology (e.g. Pap smear, cone biopsy)
3. Classification and staging of cervical cancer using Gynecology Oncology Committee of the International Federation of Gynecology and Obstetrics (FIGO) or other staging procedures

Management/Treatment

1. Cone biopsy
2. Total hysterectomy
3. Fertility-sparing surgery
4. Pelvic radiotherapy
5. Post-operative treatment using a combination of platinum-based chemotherapy and radiotherapy
6. Palliative medical care

MAJOR OUTCOMES CONSIDERED

• Incidence of and mortality related to cervical cancer
• Overall and progression-free survival rates
• Cure rates