Page 1315 - Saunders Comprehensive Review For NCLEX-RN
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Box 44-9
Premalignant Cancers: Stages of Cervical
Intraepithelial Neoplasia
Stage I: Mild dysplasia
Stage II: Moderate dysplasia
Stage III: Severe dysplasia to carcinoma in situ
Box 44-10
Treatment for Cervical Cancer
Nonsurgical
▪ Chemotherapy
▪ Cryosurgery
▪ External radiation
▪ Internal radiation implants (intracavitary)
▪ Laser therapy
Surgical
▪ Conization
▪ Hysterectomy
▪ Pelvic exenteration
Note: Internal radiation therapy is used for clients for whom surgery is not an option.
Box 44-11
Types of Pelvic Exenteration
Anterior
▪ Removal of the uterus, ovaries, fallopian tubes, vagina, bladder, urethra, and
pelvic lymph nodes
Posterior
▪ Removal of the uterus, ovaries, fallopian tubes, descending colon, rectum, and
anal canal
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