A maior parte da recorrência ocorre em 2 a 3 anos.[201]Friedlander M, Grogan M; US Preventive Services Task Force. Guidelines for the treatment of recurrent and metastatic cervical cancer. Oncologist. 2002;7(4):342-7.
https://theoncologist.onlinelibrary.wiley.com/doi/full/10.1634/theoncologist.2002-0342?sid=nlm%3Apubmed
http://www.ncbi.nlm.nih.gov/pubmed/12185296?tool=bestpractice.com
[202]Elit L, Fyles AW, Oliver TK, et al. Follow-up for women after treatment for cervical cancer. Curr Oncol. 2010 Jun;17(3):65-9.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2880906
http://www.ncbi.nlm.nih.gov/pubmed/20567627?tool=bestpractice.com
O tumor pode se disseminar localmente; para os linfonodos (pélvicos ou para-aórticos 11%, supraclaviculares 7%); por via hematogênica (pulmões 21%, ossos 16%, fígado, glândulas adrenais e cérebro); ou de modo transcelômico para o ovário ou intestino (mais comum nos adenocarcinomas, mas raro, <2%).[201]Friedlander M, Grogan M; US Preventive Services Task Force. Guidelines for the treatment of recurrent and metastatic cervical cancer. Oncologist. 2002;7(4):342-7.
https://theoncologist.onlinelibrary.wiley.com/doi/full/10.1634/theoncologist.2002-0342?sid=nlm%3Apubmed
http://www.ncbi.nlm.nih.gov/pubmed/12185296?tool=bestpractice.com
A sobrevida relativa a 5 anos é de aproximadamente 67%, mas varia de acordo com o estádio da doença no momento do diagnóstico:[4]National Cancer Institute: Surveillance, Epidemiology, and End Results (SEER) Program. Cancer stat facts: cervical cancer. 2024 [internet publication].
https://seer.cancer.gov/statfacts/html/cervix.html
Localizada (estádio I): 91.1%
Regional (estádios II-III): 60.8%
Distante (estádio IV): 19.4%
Os sobreviventes de câncer cervical continuam em risco de desenvolver um segundo câncer primário associado ao papilomavírus humano, embora o risco pareça ser baixo.[203]Suk R, Mahale P, Sonawane K, et al. Trends in risks for second primary cancers associated with index human papillomavirus-associated cancers. JAMA Netw Open. 2018 Sep 7;1(5):e181999.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6324459
http://www.ncbi.nlm.nih.gov/pubmed/30646145?tool=bestpractice.com