Gynaecologic Oncology for UPSC CMS: Cervical, Ovarian, Endometrial Cancer Staging and Management

Cervical Cancer#

Screening: Pap smear (cytology) + HPV testing. Starts at age 25. Every 5 years till 65.

Management: Cone biopsy (microinvasive). Radical hysterectomy + lymphadenectomy (IA2-IIA). Chemoradiation (IIB-IVA).

Ovarian Cancer#

Screening: CA-125, Transvaginal USG. No effective population screening.

Most common epithelial: Serous carcinoma. BRCA1/2 mutation risk. Treatment: TAH + BSO + omentectomy + chemotherapy (carboplatin + paclitaxel).