system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 50 year old normal looking lady, Sita has Ca cervix of stage between II - III. What is the MOST appropriate next step in management?
assistant
The correct answer is  Best method of management of cervical cancer stage IIb and above (advanced stage) includes use of external radiation, brachytherapy implants and concurrent chemosensitization. Cisplatin based chemotherapy along with radiotherapy is the best treatment of choice in advanced stage cervical cancer. FIGO Stage IA-1: Is managed conservatively with cone biopsy for preservation of feility or with simple hysterectomy when feility is not preferred. Stage IA 2, IB, IIA: Preferred treatment of choice is radical hysterectomy with bilateral pelvic lymph node dissection.