EBRO 2017

Early stage disease

• Level Ib evidence

• Randomised study of radical surgery versus radiotherapy for stage Ib-IIa cervical cancer – 469 women – Post-op RT if pT2b or greater, <3 mm uninvolved cervical stroma, involved margin, positive nodes • Results – No difference in OS (84% both groups) – More morbidity with surgery (28% vs.12%, p = 0·0004)

Landoni F, et al. Lancet. 1997;350(9077):535-40.