Widespread lymph node metastases in a young woman with FIGO stage IA1 squamous cervical cancer

Lymphatic and hematologic metastases are rare in microinvasive cervical cancers (FIGO stage IA1), supporting a role for conservative treatment. Cervical conization followed by prolonged surveillance is an accepted treatment in patients with low-risk features and negative surgical margins. This optio...

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Bibliographic Details
Published in:Gynecologic oncology 2005-05, Vol.97 (2), p.659-661
Main Authors: Argenta, Peter A., Kubicek, Gregory J., Dusenberry, Kathryn E., Judson, Patricia L., Downs, Levi S., Carson, Linda F., Boente, Matthew P.
Format: Article
Language:English
Subjects:
Adult
Carcinoma, Squamous Cell - pathology
Carcinoma, Squamous Cell - surgery
Cervical cancer
Female
Humans
Hysterectomy
Lymph nodes
Lymph Nodes - pathology
Lymphatic Metastasis
Metastatic
Microinvasive
Neoplasm Staging
Uterine Cervical Neoplasms - pathology
Uterine Cervical Neoplasms - surgery
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Summary:Lymphatic and hematologic metastases are rare in microinvasive cervical cancers (FIGO stage IA1), supporting a role for conservative treatment. Cervical conization followed by prolonged surveillance is an accepted treatment in patients with low-risk features and negative surgical margins. This option is particularly appealing for younger or nulliparous patients, in whom fertility may be highly desired. We report a case of a 22-year-old, HIV-negative female with stage IA1 squamous cell cervical carcinoma who was found to have bilateral lymph node metastases in both pelvic and para-aortic distributions after electing to undergo hysterectomy. Clinicians treating patients with microinvasive cervical cancer conservatively must be aware of the possibility of lymph node involvement and should consider radiological imaging to look for metastatic disease.
ISSN:0090-8258
1095-6859
DOI:10.1016/j.ygyno.2004.11.059