Expert consensus
For RMS of the cervix uteri the same principles and expert consensus
used for vaginal tumors should be applied. Therefore, patients should
undergo cystoscopy, vaginoscopy and bimanual examination under general
anesthesia in addition to an MRI scan of the abdomen and pelvis. In
cases of suspicious results at the rectum, rectoscopy should be
performed. Biopsies should be taken trans-vaginally by polypectomy or
incisional / excisional (curettage) biopsy. Partial excision of the
cervix for small pedunculated tumors would be considered a conservative
resection and should be performed when applicable. Primary radical
surgery including hysterectomy or pelvic exenteration are not indicated
due to the good response to chemotherapy and improved organ
preservation.
Similar to vaginal RMS, PRE should only be undertaken in RMS of the
cervix uteri if a complete resection can be achieved in smaller tumors
with preservation of organ function.