What are your next steps in management for a patient with endocervical adenocarcinoma s/p radical trachelectomy with a positive pelvic lymph node noted on final pathology?  

With any surgically resected cervical cancer (whether nodal assessment followed a traditional approach/radical hysterectomy or nodal assessment followed by a fertility sparing approach/radical trachelectomy), when there are positive nodes on final pathology, our tumor board recommends following Pete...