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

Abstract

BACKGROUND 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. CASE 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. CONCLUSION 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.

Cite this paper

@article{Argenta2005WidespreadLN, title={Widespread lymph node metastases in a young woman with FIGO stage IA1 squamous cervical cancer.}, author={Peter A. Argenta and Gregory J. Kubicek and Kathryn E Dusenberry and P. D. L. Judson and Levi S. Downs and Linda Carson and Matthew P Boente}, journal={Gynecologic oncology}, year={2005}, volume={97 2}, pages={659-61} }