Hello, thank you for this group.
On 10 Aug I had open myomectomy to remove a 12cm fibroid (following 6 pregnancy losses) and LETZ to treat HPV and subsequent CIN2-3. Everything was biopsied and at my follow-up yesterday I was informed that they had found
In addition to the CIN 3 , there are two foci of grade 1 squamous cell carcinoma. The carcinoma has a depth of invasion of less than 1mm. The maximum horizontal diamension is 2mm. The carcinoma is 1.5mm from the deep margin,15mm from the ectocervical margin and 9 mm from the radial endocervical margin. There is no evidence of lymphovascular space invasion. p16 immunostain will be requested to assess association with HR HPV
I am being offered either a hysterectomy (going through the open myomectomy incision) or trachelectomy - my head says to just take everything out and give up on a second child but heart says to go for the trachelectomy. I’m just not clear if one treatment is useuaklt more successful than the other. Thanks for any guidance on the different treatment options.
