[PDF] Management of Cervical Cancer: Strategies for Limited-resource Centres - A Guide for Radiation Oncologists : IAEA Human Health Reports 6

Source:
International Atomic Energy Agency
Publisher:
International Atomic Energy Agency
Publication date:
01 July 2013

Abstract

Cervical cancer remains a significant cause of morbidity and mortality among women globally, even though  it is the cancer with the greatest demonstrated potential for secondary prevention. In some regions of the world the  incidence is alarmingly high, such as in sub-Saharan Africa, some countries in Latin America, India and South-East  Asia. This disease is highly preventable and curable at a relatively low risk and low cost when screening of  asymptomatic women is available, together with appropriate diagnosis, treatment and follow-up. In developing clinical guidelines, the International Atomic Energy Agency (IAEA) has selected forms  of cancer or clinical situations that are very common in low and middle income Member States and for which  radiation oncologists consistently express a need for guidance. Clinical guidelines for the management of cervical  cancer do exist in the published literature. However, these guidelines have usually been developed in and for  affluent environments where all modern diagnosis and treatment modalities are available for the practitioner. In  limited resource environments, the radiation oncologist is faced with the question, what would be the minimally  acceptable line of action with the limited resources available? Clinical guidelines focusing on low and middle  income countries provide a practical tool to these practitioners.