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  • Understanding Cervical Cancer: Symptoms, Risks & Treatment

Cervical Cancer Treatment in Lucknow | I D Cancer Center

Expert Prevention, Diagnosis & Advanced Treatment at I D Cancer Center, Lucknow

Cervical cancer develops in the cells of the cervix—the lower part of the uterus that connects to the vagina. It is one of the most preventable and treatable cancers when detected early through screening. With modern diagnostics, HPV testing, and advanced radiotherapy techniques, outcomes have improved significantly for women across all stages.



What Is Cervical Cancer?

Cervical cancer usually begins as precancerous changes in the cervix caused by persistent infection with high-risk types of Human Papillomavirus (HPV). Early lesions are highly treatable, but without timely screening, they may progress to invasive cancer.


Common Symptoms of Cervical Cancer

Early cervical cancer often shows no symptoms, making screening essential. As cancer progresses, symptoms may include:

  • Abnormal vaginal bleeding (between periods, after intercourse, after menopause)

  • Unusual vaginal discharge

  • Pelvic or lower back pain

  • Pain during intercourse

  • Bleeding after pelvic examination

  • Leg swelling (advanced disease)

  • Difficult or painful urination


Risk Factors

Cervical cancer risk increases with:

  • Persistent HPV infection

  • Early sexual activity or multiple partners

  • Smoking

  • Long-term use of oral contraceptives

  • Weakened immune system

  • Poor genital hygiene

  • Family history of cervical cancer

  • Lack of regular Pap smear/HPV screening


How Cervical Cancer Is Diagnosed

At I D Cancer Center, diagnosis follows a step-by-step, evidence-based pathway:

1. Screening Tests

  • Pap smear

  • HPV DNA testing

2. Colposcopy

A detailed magnified examination of the cervix for abnormal areas.

3. Biopsy Procedures

  • Punch biopsy

  • Endocervical curettage (ECC)

  • Cone biopsy (LEEP / cold knife conisation)

4. Imaging for Staging

  • MRI pelvis (standard for staging)

  • PET-CT for metastatic evaluation

  • CT scan abdomen/pelvis

  • Ultrasound pelvis

5. Additional Tests

  • Complete blood tests

  • Kidney function tests

  • Tumour marker evaluation (if required)

Accurate staging guides treatment and improves outcomes.


Stages of Cervical Cancer (Simplified)

  • Stage I: Tumour limited to cervix

  • Stage II: Tumour extends beyond cervix but not to pelvic wall

  • Stage III: Tumour extends to pelvic wall or lower vagina

  • Stage IV: Cancer spreads to bladder, rectum, or distant organs


Treatment Options at I D Cancer Center

Treatment depends on cancer stage, age, fertility desires, and general health. We follow NCCN/FIGO-based guidelines.

1. Surgery (Early-Stage Disease)

  • Hysterectomy

  • Radical hysterectomy

  • Trachelectomy (fertility-preserving)

  • Pelvic lymph node dissection

2. Chemoradiation (Standard for Locally Advanced Disease)

Most women with Stage IB2–IVA benefit from:

  • External Beam Radiotherapy (EBRT) +

  • Concurrent Chemotherapy (weekly cisplatin) +

  • Intracavitary Brachytherapy

3. Advanced Radiotherapy Techniques (Available at I D Cancer Center)

  • IMRT / VMAT

  • IGRT-based precision radiation

  • BMS-VMAT (bone marrow–sparing techniques)

  • Image-guided brachytherapy

  • SBRT for metastasis

These techniques improve local control while reducing side effects.

4. Chemotherapy

Used for advanced or recurrent disease.

5. Targeted Therapy & Immunotherapy

  • Bevacizumab for selected advanced-stage patients

  • Immunotherapy (PD-1 inhibitors) in specific recurrent/metastatic cases

6. Palliative & Supportive Care

  • Pain management

  • Anaemia/fatigue treatment

  • Psychological support

  • Nutritional guidance


Prevention of Cervical Cancer

1. HPV Vaccination

Highly effective and recommended for:

  • Girls aged 9–14 years

  • Young women up to 26 years

  • Adults up to 45 years (after medical advice)

2. Regular Screening

Pap smear + HPV test can detect precancerous cells early.

3. Safe Sexual Practices

Lower the risk of HPV transmission.


Prognosis

Cervical cancer is highly treatable, especially when diagnosed early.
Outcomes depend on:

  • Stage at diagnosis

  • Treatment completion

  • Tumour behavior

  • Patient health

With modern chemoradiation and brachytherapy, many women achieve long-term cure and excellent quality of life.


Why Choose I D Cancer Center?

  • Led by Dr. Sunil Kumar, a trusted Radiation Oncologist

  • Evidence-based treatment aligned with NCCN/FIGO guidelines

  • Precision radiotherapy with modern IMRT/VMAT/SBRT

  • Compassionate, patient-centred care

  • Affordable and transparent treatment packages

  • Complete support—from screening to survivorship