Since the publication of the last FIGO Cancer Report there have been giant strides in
the global effort to reduce the burden of cervical cancer, with WHO announcing a call
for elimination. In over 80 countries, including LMICs, HPV vaccination is now included
in the national program. Screening has also seen major advances with implementation
of HPV testing on a larger scale. However, these interventions will take a few years to
show their impact. Meanwhile, over half a million new cases are added each year.
Recent developments in imaging and increased use of minimally invasive surgery have
changed the paradigm for management of these cases. The FIGO Gynecologic
Oncology Committee has revised the staging system based on these advances. This
chapter discusses the management of cervical cancer based on the stage of disease,
including attention to palliation and quality of life issues.