Cervical carcinoma (squamous predominant + adeno)
Deterministic view of the source YAML entity. Clinical authority remains with the cited source IDs and reviewer sign-off state.
| ID | DIS-CERVICAL |
|---|---|
| Type | Disease |
| Aliases | Cervical carcinomaCervix uteri carcinomaКарцинома шийки матки |
| Status | reviewed 2026-04-26 | pending_clinical_signoff |
| Diseases | None declared |
| Sources | SRC-ESMO-CERVICAL-2024 SRC-NCCN-CERVICAL-2025 |
Informational support. All recommendations must be verified by a qualified oncologist. Engineering checks are not clinical validation or treatment approval.
| icd_o_3_morphology | 8070/3 |
|---|---|
| icd_o_3_topography | ["C53"] |
| icd_10 | C53 |
| who_classification | WHO Female Genital Tumours 5th ed (2020): Cervical squamous cell carcinoma + cervical adenocarcinoma |
Notes
Scaffolded for batch #2: focus on locally-advanced (FIGO IB3-IVA) CRT and metastatic 1L systemic. Cervical is the second etiologically_driven disease in KB (after HCV-MZL); HPV is the near-universal causal agent. 4 RFs: hydronephrosis-from-pelvic-mass (organ-dysfunction emergency), HIV-coinfection (infection-screening + prognostic), bulky-disease (high-risk biology), frailty/age. Regimens: cisplatin-radiosensitization (concurrent CRT), pembro+chemo+bev (KEYNOTE-826 metastatic), tisotumab vedotin (innovaTV-301 2L+). Out-of-scope this commit: early-stage IA1-IB2 conservative surgery (cone, simple/modified-radical hysterectomy) — Surgery entity per PROPOSAL §17 needed; brachytherapy as separate modality.
Used By
Actionability
BMA-PDL1-CPS-CERVICAL- PD-L1 CPS ≥1 is required for pembrolizumab in persistent/recurrent/metastatic cervical ca...BMA-PIK3CA-HOTSPOT-CERVICAL- PIK3CA mutations occur in ~30% of squamous cervical cancers. No PI3Ki/AKTi approval in ce...BMA-TP53-MUT-CERVICAL- TP53 mutation in CERVICAL — common, adverse prognostic; not directly targeted. Per usual...
Algorithms
ALGO-CERVICAL-LOCALLY-ADVANCED-1L- ALGO-CERVICAL-LOCALLY-ADVANCED-1LALGO-CERVICAL-METASTATIC-1L- ALGO-CERVICAL-METASTATIC-1L
Disease
DIS-VULVAR-VAGINAL-SCC- Vulvar and vaginal squamous cell carcinoma
Indication
IND-CERVICAL-2L-TISOTUMAB-VEDOTIN- IND-CERVICAL-2L-TISOTUMAB-VEDOTININD-CERVICAL-LOCALLY-ADVANCED-CRT- IND-CERVICAL-LOCALLY-ADVANCED-CRTIND-CERVICAL-METASTATIC-1L-PEMBRO-CHEMO-BEV- IND-CERVICAL-METASTATIC-1L-PEMBRO-CHEMO-BEVIND-CHRONIC-HPV-PREVENTION-OBSERVATION- IND-CHRONIC-HPV-PREVENTION-OBSERVATIONIND-CHRONIC-HPV-PREVENTION-VACCINATION-SCREENING- IND-CHRONIC-HPV-PREVENTION-VACCINATION-SCREENINGIND-REPRODUCTIVE-DES-EXPOSURE-PREVENTION-OBSERVATION- IND-REPRODUCTIVE-DES-EXPOSURE-PREVENTION-OBSERVATIONIND-REPRODUCTIVE-DES-EXPOSURE-PREVENTION-SURVEILLANCE- IND-REPRODUCTIVE-DES-EXPOSURE-PREVENTION-SURVEILLANCEIND-REPRODUCTIVE-HIGH-PARITY-CERVICAL-PREVENTION-OBSERVATION- IND-REPRODUCTIVE-HIGH-PARITY-CERVICAL-PREVENTION-OBSERVATIONIND-REPRODUCTIVE-HIGH-PARITY-CERVICAL-PREVENTION-SURVEILLANCE- IND-REPRODUCTIVE-HIGH-PARITY-CERVICAL-PREVENTION-SURVEILLANCE
Questionnaires
QUEST-CERVICAL-1L-STUB- Cervical carcinoma — first line
Red flag
RF-ACTIVE-AUTOIMMUNE-DISEASE-ICI-RISK- Patient with active or incompletely controlled pre-existing autoimmune or inflammatory di...RF-CERVICAL-FRAILTY-AGE- Frailty profile precluding standard cisplatin-based chemoradiation in cervical cancer: EC...RF-CERVICAL-HIGH-RISK-BIOLOGY- Cervical cancer with adverse biology / locally-advanced features predicting poor CRT resp...RF-CERVICAL-HYDRONEPHROSIS-PELVIC-OBSTRUCTION- Hydronephrosis or pelvic-mass-induced ureteric obstruction in cervical cancer (FIGO IIIB...RF-CERVICAL-INFECTION-SCREENING- Active or unmanaged infection requiring resolution before initiating cisplatin-based chem...RF-CERVICAL-PDL1-CPS-1-PLUS- Persistent, recurrent, or metastatic cervical cancer with PD-L1 CPS ≥1 by 22C3 IHC. KEYNO...RF-CERVICAL-TRANSFORMATION-PROGRESSION- Cervical cancer recurrence or progression after definitive chemoradiation: in-field local...RF-CHRONIC-HPV-MALIGNANCY-PREVENTION- Persistent high-risk HPV infection (HPV-16, 18, 31, 33, 45, 52, 58 detected on cervical c...RF-IATROGENIC-DES-EXPOSURE-PREVENTION- In-utero exposure to diethylstilbestrol (DES), a synthetic non- steroidal estrogen prescr...RF-IATROGENIC-LONG-TERM-HRMNL-CONTRACEPTION-PREVENTION- Cumulative use of estrogen-containing or combined hormonal contraception (combined oral c...RF-IATROGENIC-TRANSPLANT-IMMUNOSUPPRESSION-LONGTERM-PREVENTION- Solid-organ transplant recipient on chronic immunosuppression ≥3 years post-transplant, b...RF-IATROGENIC-TRANSPLANT-IMMUNOSUPPRESSION-PREVENTION- Chronic immunosuppression for solid-organ transplant or post-allogeneic HSCT. Elevated ri...RF-PEUTZ-JEGHERS-CONFIRMED-CARRIER- Confirmed germline pathogenic / likely-pathogenic variant in the STK11 (LKB1) gene — Peut...RF-PEUTZ-JEGHERS-FAMILY-HISTORY-SUSPICION- Family pedigree suggestive of Peutz-Jeghers syndrome (PJS): any of (a) a family member wi...RF-REPRODUCTIVE-DES-IN-UTERO-EXPOSURE-PREVENTION- In-utero exposure to diethylstilbestrol (DES) — synthetic non-steroidal estrogen prescrib...RF-REPRODUCTIVE-HIGH-PARITY-CERVICAL-PREVENTION- High parity (≥5 full-term pregnancies) acting synergistically with HPV infection to incre...RF-REPRODUCTIVE-OCP-LONG-TERM- Long-term combined oral contraceptive use (≥10 cumulative years). Mixed cancer risk profi...
Sources
SRC-ESMO-CERVICAL-2024- ESMO Cervical Cancer Clinical Practice GuidelineSRC-GOG240-TEWARI-2014- Incorporation of Bevacizumab in the Treatment of Recurrent and Metastatic Cervical CancerSRC-INNOVATV-204- Efficacy and safety of tisotumab vedotin in previously treated recurrent or metastatic ce...SRC-KEYNOTE-826-COLOMBO-2021- Pembrolizumab for Persistent, Recurrent, or Metastatic Cervical Cancer (KEYNOTE-826)SRC-NCCN-CERVICAL-2025- NCCN Cervical Cancer