How to treat early cervical interstitial infiltration cancer?

Early invasive carcinoma of cervical stroma is called stage IA. Because the determination of stage IA tumor is based on the measurement under microscope, the biopsy specimen can't contain all lesions, so it is impossible to measure the range of lesions. Therefore, the correct diagnosis requires cone biopsy. Therefore, the accurate diagnosis of stage IA cervical cancer requires careful pathological examination of conization specimens with negative margins.

Extrafascial total hysterectomy (type I extended hysterectomy) is feasible for patients with stage IA/KLOC-0 and no fertility requirements. If the patient has fertility requirements, cervical conization is feasible, and the negative margin can be followed up regularly. IA 1 stage lymph node metastasis probability

The potential lymph node metastasis rate of IA2 cervical cancer is about 3%-5%. It is feasible to perform subtotal hysterectomy (type ⅱ extended hysterectomy) and pelvic lymph node dissection. If you want to preserve the fertility function, you can choose extensive cervical resection plus pelvic lymph node dissection (patients with fertility requirements are advised to transfer to higher medical units for extensive cervical resection).