Would you consider robotic lymph node dissection and parametrectomy for a patient with incidental stage 1A2 cervical cancer after simple hysterectomy?

I would not consider a parametrectomy, but I would definitely do a lymph node evaluation. Depending on risk factors such as tumor size, presence of LVSI, and depth of invasion, I would start with a PET scan. Rates of positive lymph nodes can be as high as 8-10% for these early-stage cancers. If ther...

I would also think of how the initial surgery was performed when counseling this patient. Oftentimes, patients undergo MIS hysterectomy and I would consider sharing the information about LACC trial and how she may be at a slightly higher risk of recurrence. That being said, I think offering robotic ...