Given in this scenario with clinically apparent cervical extension and an MRI negative for parametrial involvement, I would want to also ensure the nodes appear normal making the disease consistent with FIGO stage II disease. In this scenario, if the patient does clinically have disease limited to t...

Assuming no distant disease, would do a simple hysterectomy pelvic and paraaortic lymphadenectomy. The surgical finding would then dictate any further if needed therapy.