Radiation therapy is the primary choice for patients with cervical cancer in stage Ib2-IVa and is combined with chemotherapy, if tolerated. Radiation therapy dosage or intensity should not be reduced to improve the tolerance of combined treatment. Chemotherapy should be reduced or stopped in such cases. Radiation therapy given together with chemotherapy is also appropriate for patients with inoperable cervical cancer stage Ib-IIa.
For stage IVb, radiation therapy may also be appropriate usually after chemotherapy.
For treatment planning, it is usually necessary to obtain information about the patient's general condition, psychosocial status, and other diseases. This may influence the patient's tolerance for treatment and how it is carried out. It is also important to confirm if other diseases significantly limit survival independent of the cervical cancer.