Abstract:

Radical hysterectomy and radical trachelectomy are important surgical modalities for cervical cancer. Although better effect is accompanied with these operations，many complications might occur，some even more serious. Many clinical trials showed that parametrial involvement was not found in low risk early-stage cervical cancer. In recent years，risk factors for parametrial spread is better understood. All these results establish the basis of less radical surgical procedure for early-stage cervical cancer. Large cervical conization with pelvic lymphadenectomy could be a reasonable therapeutic option for some low risk early-stage cervical cancer to reduce complications and improve quality of life.

Key words: Large cervical conization, Uterine cervical neoplasms, Parametrial involvement, Carcinoma