What are the guidelines for treating stage IA2 cervical cancer?

Updated: Feb 12, 2019
  • Author: Cecelia H Boardman, MD; Chief Editor: Warner K Huh, MD  more...
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Answer

The NCCN and ESMO provide recommendations that include the following [8, 108] :

  • Fertility-sparing radical trachelectomy (NCCN) and pelvic lymph node dissection

  • Cone biopsy followed by observation is acceptable, if the margins and lymph node dissection are negative

  • For patients who do not desire fertility preservation, modified radical hysterectomy (NCCN) or extrafascial hysterectomy (ESMO) and bilateral pelvic lymph node dissection; ESMO recommends radical trachelectomy or radical hysterectomy with lymph node dissection when LVSI is present

  • Pelvic radiation with brachytherapy (NCCN) or brachytherapy alone (ESMO) is recommended as an alternative option

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