Stage IA1 and IA2

Question 1

Lymph nodes involvement in stage IA1

Answer 1

1 %

Question 2

Lymph nodes involvement in stage

Answer 2

3 - 6 %

Question 3

Lymph adenectomy in Stage IA1

Answer 3

• Early stage adenocarcinoma with a depth of invasion of ≤3 mm and horizontal spread of 7 mm or less has little potential for pelvic nodal metastases (less than 1%)
• The evidence suggests that there is no need to remove pelvic lymph nodes when treating IA1

Question 4

Lymphadenectomy in AI2

Answer 4

Pelvic lymph nodes should be removed

Question 5

Follow up of stage Ia1

Answer 5

• If conservative treatment with residual cervix, then 6 and 12/12 f/up
• Then annual for 9 years