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Topics:
Gynecologic Cancers • Cervical Cancer
What is your fertility-sparing management of a stage IA1 cervical squamous cell carcinoma following a LEEP with negative margins and focal LVSI?
Answer from: at Academic Institution
NCCN guidelines state that stage IA1 with negative margins and positive LVSI can be treated with:
radical trachelectomy + pelvic lymphadenectomy (consider sentinel LN mapping)
OR
with repeat cone biopsy or trachelectomy with pelvic lymphadenectomy (consider sentinel LN mapping).
Preoperatively, ...
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Answer from: at Academic Institution
The data would suggest she has been adequately treated.