How would you approach treatment for a primary carcinosarcoma of the cervix with pelvic and para-aortic nodal involvement?   

There is limited information on this situation. A series from Washington University (Gynecol Oncol 2005; 99: 348) demonstrates that curative intent treatment can be rewarded with long term survivals if disease is confined to the pelvis. Curative treatment could include chemo-RT, radical surgery, or ...