In all cases a conization is required to rule out a truly invasive lesion .
For women who want to remain able to have children, a cone biopsy may cure the disease if the surgical margins, or edges, do not show any evidence of disease. Even so, adenocarcinoma in situ or an invasive adenocarcinoma is occasionally found in the residual cervix even if the cone biopsy has negative margins.
For those who have completed childbearing, the treatment of choice is a simple hysterectomy .
Five-Year Survival 100 percent
Stage Ia1
Stage I is a cancer confined to the cervix. Stage Ia involves a carcinoma of the cervix diagnosed only microscopically. This is further divided into two stages based on the depth of invasion of the cervix. In Stage Ial, there is only minimal, microscopic invasion.
Standard Treatment Women with this stage of disease are usually treated with a cone biopsy or a hysterectomy.
