How do you best manage bulky, clinical stage IIA squamous cell cancer of the cervical stump in a patient with a previous partial supra-cervical hysterectomy?  

This is not a common scenario in the clinic. It is an older type of surgery to do supracervical Hysterectomy.  For stage IIA Sq. cell ca of Cx in the stump, I would start with chemoRT to pelvis to 45-50GY and then depending on the length of the stump if at least 2.5-3cm would offer intracavita...

MRI imaging before chemoRT can be very helpful in this situation to evaluate the length of cervix, parametrial extent, and relevant OAR anatomy. Standard therapy with a short tandem depending on residual length (2-3 cm) could be all that is needed. If the lesion is bulky laterally then an interstiti...