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IA1 Cervix Cone — SCE Medical Oncology MCQ

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EasyGynaecological CancersIA1 Cervix ConeSCE Medical Oncology

A 45-year-old woman with cervical cancer stage IA1 (3mm invasion, no LVSI) undergoes cone biopsy with clear margins. Wishes fertility preservation. Is further treatment needed?

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Correct answer: A — No — cone biopsy with clear margins is sufficient for stage IA1 without LVSI; <1% nodal metastasis risk; surveillance with cytology/colposcopy

Stage IA1 (≤3mm, <7mm width) without LVSI: <1% nodal risk, <1% recurrence with cone/LLETZ + clear margins. Most conservative fertility-preserving approach.

Reference: NICE NG12; FIGO 2018; ESMO 2024 Cervical