Do you offer surgery for patients with early stage cervical cancer who you suspect will need adjuvant radiation regardless of surgical pathology results?  

Very exophytic tumors in very young women can be treated nicely even if greater than 5 cm without radiation if pet negative and careful patient selection by pelvic exam in my experience.

There could be other factors that could play a role, such as strong patient preference or pre-menopausal status. In younger, sexually active patients, there might be a better functional outcome with primary surgery. However, in general, chemo-RT should deliver at least equivalent outcomes to primary...