Cervical cancer 1a1

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ive been diagnosed with 1 a1 cervical cancer. I ve got mri with result of no spread, on mri has not been evidence of cancer cells maybe Bcz all cells been removed by leetz biopsy. The consultant plan to have a conisation and hysteroscopy with biopsy to check my uterus, but on the day I just had the hysterescopy and he says he has not been able to do conisation Bcz I already had 2 lletz excisions in the past and there is a risk of damage my bladder or back passage. He recomand me laparoscopic hysteroectomy with preserve ovaries. Again waiting…my question is: is it possible in this waiting time my cancer to progress to different stage? It can be cured just with surgery ? Radio and chemo scare me so much. Histology report says: canal covered with cin 3 and microinvasive largest area 2mmx5mm No LVSI Deep and endocervical margins are positive Ectocervix is negative.
thankyou

elena

Vanessa - Macmillan over 3 years ago

Hi ElenaR

Welcome to the Online Community here at Macmillan. I hope you find it a helpful place to access support and ask questions.

My name is Vanessa, and I am one of the information nurses.

Cervical cancer develops very slowly from abnormal cell changes within the cervix.

Stage 1a1 means that the cancer cells are only within the cervix and are less than 3mm deep. Stage 1a1 is sometimes called early cervical cancer and can sometimes be treated by a LLETZ or cone biopsy .

As this isn’t possible for you without risking damage to your bladder or bowel your consultant has suggested a laparoscopic hysterectomy with preservation of your ovaries.

As part of this procedure the surgeon sends the tissue which is removed for detailed analysis in the laboratory. This is to check that all cancer has been removed. You may be offered more treatment if your consultant is concerned that there is a risk some cancer cells have been left behind, or if there’s any sign the cancer has spread.

Further treatment may include chemotherapy, radiotherapy or a combination of both which is called chemoradiotherapy.

I can see that the thought of chemotherapy and radiotherapy scares you but it’s important to remember that there is a lot of support available to help you cope with this treatment, should you need it.

I can see that you have joined the cervical cancer forum within our online community. I hope you are finding that helpful.

In addition, Jo’s Trust offer various forms of support including 1.1. cervical cancer support service, ask the expert, a helpline and an online forum.

You also mention that you are concerned about waiting for treatment and the risk that your cancer has progressed in this time. It might be reassuring to look at information regarding cancer waiting times.

I’m sorry but I cannot interpret histology reports. It is unsafe for me to do so as we do not have access to NHS records in this service. If you have an allocated nurse specialist, this is something you could ask them about. As they have full access to your NHS records and recent results, they will be able to give you more detailed information about the report.

I hope this information is of some help.

Best wishes

Vanessa Gibson: Cancer Information Nurse Specialist

You can also speak with the Macmillan Support Line team of experts. Phone free on 0808 808 0000 (7 days a week, 8am-8pm) or send us an email.

Ref: VG/SMJ

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Cervical cancer 1a1