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60-year-old female with abnormal Pap test. No gross lesions on cervix. History of cervical dysplasia. No palpable inguinal adenopathy.
Bimanual exam was negative.
Abdominal/Pelvic CT: No obvious adenopathy.
Chest X-Ray: Negative
Cervical cone biopsy: wd squamous cell carcinoma at exocervix edge, stromal invasion 2 mm, no vascular channel permeation present, margins negative.
Total hysterectomy, BSO: Uterus, cervix, bilateral ovaries and tubes: no residual malignancy.
Surgery: cervical conization
Surgery: total hysterectomy, bilateral salpingo-oophorectomy