Bilateral pelvic lymph node metastases in a case of FIGO stage IA(1) adenocarcinoma of the cervix

Introduction. Although the FIGO staging system has been recently described for microinvasive adenocarcinoma of the cervix, the precise role it will ha ve on determining how patients are treated remains uncertain. Using various definitions for the classification of microinvasion, recent reports have s uggested conservative management for patients with this disease. Case. We present the case of a 62-year-old woman with FIGO stage IA(1) aden ocarcinoma of the cervix found to have bilateral microscopic pelvic lymph n ode metastases. To our knowledge, this is the only documented case of lymph node metastases in a patient with IA(1) disease. Conclusions. A review of the controversial issues involving the definition and management of microinvasive adenocarcinoma of the cervix is presented. The finding of lymph node metastases in our patient provides support for ag gressive surgical management in selected patients with this disease, (C) 20 00 Academic Press.