In the context of the ConCerv and SHAPE trials, how would you approach a patient with endometrioid adenocarcinoma within an excised 1.2 cm cervical polyp (negative for LVSI) who has no suspicious lymph nodes on CT scan?   

Would need to determine if this is indeed a cervical primary or possibly an endometrial cancer with cervical involvement. Would order a TVUS and counsel the patient to undergo LLETZ or cervical conization. Would also need to know the depth of invasion.

I would ensure that the polyp was fully removed and attempt to determine whether it is of cervical or endometrial origin. Either way, however, I would discuss fertility-preserving surgery versus definitive surgery. If fertility-preserving, then I would consider a CKC with sentinel lymph nodes, versu...

The ConCerv and SHAPE trials each evaluated the cancer outcomes of patients with stage IA2 to IB1 cervical cancer who underwent radical hysterectomy as compared to simple hysterectomy with lymph node assessment. These trials evaluated slightly different patient populations, but both found that simpl...