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Hysterectomy or chemo/radiation?

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Hysterectomy or chemo/radiation?

I know usually for 1a or 1b they decide to do a hysterectomy. Can you choose to have chemo/radiation instead? 

Is chemo/radiation just as effective as hysterectomy?

ASC-H pap results

LEEP to be performed on September 17, 2020

September 20, 2020 LEEP done. Dr said I didn't have cancer. Waiting for results.

LEEP results are CIN3 all margins clear. No cancer. ECC was negative for SIL or cancer.

I have not had a pap in about 15 years.


Both treatments arw equally effective,  however do not underestimate the impact of chemorads. Here in the Netherlands radiotherapy is called surgery without cutting. It is by no means " the easier road"

If I were given the choice between the two I would have opted for surgery without the blink of an eye.  Even though I am terrified of beeing put under anesthesia.


I had the chance to get a second opinion , surgery was ruled out due to me beeing stage 2b , but I was absolutely petrified of getting chemotherapy. There is a third treatment option here wich is hyperthermy ( heating the tumour) in combination with radio therapy. 


I was willing to choose the treatment without chemo, i was that scared. The doctor told me that chemoradiation and brachytherapy is the golden standard treatment. It is highly succesful. He then proceeded to tell me that the treatment I wanted was really good too, BUT my chances of beeing cured would be less.


That was an eyeopener right away. Get the treatment you need, and not the treatment you prefer out of fear. If you can have a radical hysterectomy and be cured, do it!!! 

If they advise chemorads instead, take it. Get a second opinion if possible but please do not make a decision based on fear. You can do this. The surgery. The chemorads.  Both if that is what it takes. You can do it!

28-8-2019 diagnosed grade 2 squamous 2B 4 cm tumor Mri suspect lymphe nodes but pet scan Shows no lymph nodes 25 radio extended field, 6 chemo and 4 brachy finished October 29 2019


I had 1b, they recommended radical hysteractomy.

My cons said I could go for radiation but he doesn't recommend due to the long term side effects.

I have done my research and I opted for surgery, I have kids and don't want more. 

I am now 6 weeks post surgery, no evidence of disease and follow up in 3 months.

As mentioned above if you are not sure maybe get second opinion or do a wee bit of research with pros and cons of both. 

Take care and all the best! 


Hey lovely,

the advantage of surgery first is you can have chemorads if you need to worst case scenario, if you have chemorads first the chances are if you have a recurrence the surgery will be much more extreme than a simple hysterectomy due to the effects of radiation damage.

Both are very effective in treatment but obviously their are pros and cons to both, if you get a choice only you can make it.

much love xx 

May 19 odd symptoms

03/06/19 doctors appt internal exam, said everything looked fine, did smear. 

10/06/19 urgent colposcopy due to HPV positive and severe changes. 

21/06/19 consultant sees 2cm tumour takes punch biopsies. She’s pretty sure it’s cc.

24/06/19 cancer confirmed, grade 3 preliminary staging 1b.

03/07/19 X-ray. 08/07/19 MRI and PET scan. 10/07/19 MDT meeting

15/07/19 restaged 2b parametrial invasion no lymph node involvement.

16/07/19 treatment 5 1/2 weeks chemorads

18/07/19 planning MRI 26/07/19 preassessment Chemo

05/08/19 chemorads start

11/09/19 chemorads end!!!! 

16/09/19 Brachy

19/09/19 DONE!!!! 

Petesdragon's picture

I got a second cancer caused by the radiation following years of tricky side effects. A hysterectomy is definitely your best option if that choice is open to you.

Karen x 

    • Stage 3 Glassy cell adenocarcinoma  1997 (negative smear tests).

Treated with Wertheim's hysterectomy, chemorads.

October 2017- new squamous cell vaginal tumour diagnosed,  probably radiation-induced. 

Total pelvic exenteration on 19th December 2017. 

March 18 Post-op CT scan shows healthy kidneys and successful urostomy and colostomy. No evidence of recurrence. Discharged by urology and colorectal surgeons. 2 down and 2 to go!

June 2018. CT scan shows 2 new pulmonary nodules.  

CT Scan Jan 2019. Nodules gone. No evidence of disease. 

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