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. Author manuscript; available in PMC: 2018 Oct 1.
Published in final edited form as: Abdom Radiol (NY). 2017 Oct;42(10):2488–2512. doi: 10.1007/s00261-017-1179-3

Table 3.

Cervical Cancer: Eligibility Criteria For Fertility-Sparing Management

Tumor Characteristics

  • Invasive squamous cell carcinoma, adenocarcinoma, or adenosquamous carcinoma
    • Not eligible: Small cell neuroendocrine tumor or gastric type minimum deviation adenocarcinoma

Criteria Evaluated at MRI

  • Tumor size ≤ 2 cm

    (Some centers accept tumor size ≤ 4 cm, particularly if exophytic)

  • Tumor-to-internal os distance ≥ 1 cm

    (Some centers accept ≥ 0.5 cm)


  • Cervical stromal invasion (CSI) < 50%

    (Some centers accept: any degree of CSI)

  • Absence of parametrial invasion

  • Absence of lymph node metastases