title: Multiple Bulky Lymph Nodal Metastasis in Microinvasive Cervical Cancer: A Case Report and Literature Review.
abstract: Microinvasive squamous cell cervival carcinoma is characterized by an exceptional incidence of lymph nodal metastasis. We report the case of a 45-year-old woman affected by IA1 squamous cell carcinoma, found to have massive pelvic lymph nodal metastasis. After a systematic pelvic and aortic selective lymphadenectomy, at 16 months of follow-up, she is still disease-free. Patients suitable for conservative therapy should be carefully counselled about the established risks and benefits of nondestructive treatment options.
authors.affiliation: Department of Obstetrics and Gynecology, 'Sapienza' University of Rome, Rome, Italy.
authors.forename: Claudia
authors.initials: C
authors.lastname: Marchetti
authors.forename: Natalina
authors.initials: N
authors.lastname: Manci
authors.forename: Milena
authors.initials: M
authors.lastname: Pernice
authors.forename: Chiara
authors.initials: C
authors.lastname: Di Tucci
authors.forename: Carlo
authors.initials: C
authors.lastname: Carraro
authors.forename: Moira
authors.initials: M
authors.lastname: Burratti
authors.forename: Margherita
authors.initials: M
authors.lastname: Giorgini
authors.forename: Pierluigi
authors.initials: P
authors.lastname: Benedetti Panici