Stage IB1 cervical cancer

Stephen C. Rubin, MD
Last Modified: March 31, 2002


Dear OncoLink "Ask The Experts,"

My sister has been diagnosed with Stage Ib1 cervical cancer. She has had her second cone biopsy performed about a week ago and the tumor has been removed. The Oncologist was not happy with margins so has suggested a radical hysterectomy with pelvic lymph node dissection, in case the cancer has spread.

My question to you is: - is the cancer at Stage 1b1 treatable and curable and how probable is it that the cancer has gone into her lymph nodes. My sister is 37 years of age, has had no abnormal smear tests and has not had any symptoms of cervical cancer.  


Stephen C. Rubin, MD, Professor and Chief of the Division of Gynecologic Oncology, University of Pennsylvania Health System, responds:

Stage Ib1 indicates that the tumor appears clinically to be confined to the cervix, and is less than 4 cm in diameter. Conization would not be adequate treatment for such a cancer. Radical hysterectomy, which involves removal of the uterus and cervix, along with the parametrium (the tissue between the cervix and the pelvic wall) and the upper, is combined with pelvic lymph node dissection as treatment for women with early cervical cancer who are candidates for major surgery. The chance of metastatic cancer in the lymph nodes is about 15%. When done by an experienced gynecologic cancer surgeon, the operation is generally well tolerated, with cure rates of about 85%. Patients, who have cancer found in the lymph nodes, or have other high-risk features, will benefit from post-operative radiotherapy and chemotherapy.


7 Tips for Giving Smart on #givingtuesday
by Christina Bach, MSW, LCSW, OSW-C
November 25, 2015

Related News

Relative Survival Up Over Time for Stage I to III Cervical Cancer

Nov 19, 2015

Survival up for those diagnosed in 2009 versus 2000, 1990, 1983; no change for stage IV tumors

Ultrasound, MRI Comparable for Cervical Cancer Staging

Nov 30, 2015

Transvaginal sonography, a feasible and economic imaging modality

Goal in Stage Ia1 Cervical Cancer Is Complete Excision

Dec 24, 2014

Women with clear surgical margins after the initial excision are more likely to remain disease-free