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Table 6-41

Stage of InvasionRecommended Treatment
0 (In situ) Atypical hyperplasiaCryosurgery, conization
I Uterus is of normal sizeHysterectomy
II Uterus slightly enlarged, but tumor is undifferentiatedRadiation implant, x-ray; hysterectomy 4–6 wk postradiation
III Uterus enlarged, tumor extends outside uterusRadiation implant, total hysterectomy 4–6 wk postradiation
IV Advanced metastatic diseasepillImageRadiation, chemotherapy; progestin therapy to reduce pulmonary lesions