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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...
at ProMedica Toledo Hospital
Agree
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