What is your fertility-sparing management of a stage IA1 cervical squamous cell carcinoma following a LEEP with negative margins and focal LVSI?
2 Answers
Mednet Member
Gynecologic Oncology · Cooper Medical School of Rowan University
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...