How would you approach nodal assessment in a pregnant patient with new diagnosis of at least stage IB1 cervical SCC?

My preferred approach to nodal assessment in this patient is a robotic pelvic lymphadenectomy in the early second trimester of pregnancy after she has undergone a pelvic MRI without gadolinium.

The approach to the patient with early-stage cervical cancer presenting in the first trimester of pregnancy has been evolving over the last 10-15 years. The classic advice at an early gestation has been to proceed with definitive oncologic treatment, resulting in pregnancy termination. With a growing ackno...