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Topics:
Gynecologic Cancers • Cervical Cancer
Do you ever offer minimally invasive surgery for treatment of early stage cervical cancer?
Despite the LACC trial, this year's SGO had many posters and discussions around MIS for early cervical cancer.
If you offer MIS, what are the key elements of your counseling?
Answer from: at Academic Institution
I do not offer minimally invasive surgeries to cervical cancer patients regardless of tumor size based on the RCT data. I think there is also sufficient retrospective data to question this approach in even smaller tumor sizes and do not feel comfortable offering this to patients given the concern fo...
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Answer from: at Academic Institution
I do not offer minimally invasive hysterectomy. For patients with Stage 1A1 disease or those who have had excision with negative margins (and Stage 1A1 and possibly some 1A2), I would consider MIS after patient counseling and consideration of risks/benefits.