Pretreatment Assessment of Women with Histologic Diagnosis of Cervical Cancer

History

Physical examination

Complete blood count, blood urea nitrogen, creatinine, hepatic function Chest radiography

Intravenous pyelography or computed tomography of abdomen with intravenous contrast Consider the following: barium enema, cystoscopy, rectosigmoidoscopy

C. Selective use of chest radiography, intravenous pyelography, cystoscopy, gastrointestinal endoscopy (ie, flexible sigmoidoscopy), lymphangiography, computed tomography (CT) or magnetic resonance imaging (MRI) of the pelvis and abdomen may be useful in appraising the degree of metastatic disease. Assessment of renal function is vital to the staging of cervical cancer. The presence of unilateral or bilateral ureteral obstruction with azotemia often heralds metastatic disease and heralds a poorer prognosis.

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