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In light of the SHAPE trial results, how would you manage a patient with an incidentally diagnosed FIGO IA1 cervical cancer after simple extrafascial hysterectomy/BSO?  

No LN dissection was performed as it was for a suspected CIN III. Final pathology showed +LVSI, -margins (>10mm), -parametrial extension, and 1.2mm depth of invasion. 



Answer from: Radiation Oncologist at Academic Institution
Comments
Radiation Oncologist at University of California Irvine Medical Center
Thank you! I agree with adjuvant pelvic radiation ...
Radiation Oncologist at University of Kentucky
I would either add vaginal cuff brachy or do an SI...
Radiation Oncologist at Harold C Simmons Comprehensive Cancer Center/UT Southwestern
Agree with the answers
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Answer from: at Academic Institution
Comments
Radiation Oncologist at University of Kentucky
In the case described, the patient had +LVSI. Ther...
at Medical University of South Carolina
Again if the previous mm staging is used, LVSI did...
Radiation Oncologist at University of Kentucky
Changing the staging system does not change the pr...
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