What is your fertility-sparing management of a stage IA1 cervical squamous cell carcinoma following a LEEP with negative margins and focal LVSI?
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What is your fertility-sparing management of a IA1 cervical squamous cell carcinoma with negative margins, focal LVSI, and negative nodes?
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2 Answers
Mednet MemberInvited Expert
Gynecologic Oncology · Cooper Medical School of Rowan University
Answered on
NCCN guidelines state that stage IA1 with negative margins and positive LVSI can be treated with:
radical trachelectomy + pelvic lymphadenectomy (consider sentinel LN mapping)
OR
with repeat cone biopsy or trachelectomy with pelvic lymphadenectomy (consider sentinel LN mapping).
Preoperatively, phys...
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Mednet MemberInvited Expert
Gynecologic Oncology · Medical University of South Carolina
Answered on
The data would suggest she has been adequately treated.
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