Tseng JH, et al. - Researchers used the Surveillance, Epidemiology and End Results database to identify cases of stage IB1 cervical cancer treated with less radical surgery (LRS; conization, trachelectomy, simple hysterectomy) vs more radical surgery (MRS; modified radical, radical hysterectomy). They analyzed only those who underwent lymph node (LN) assessment. The comparison was focused on disease-specific survivals (DSSs) of those who had LRS vs those who had MRS. They performed a median follow-up of 79 months (range, 0-179). Findings revealed 93.5% vs 92.3% to be 10-year DSS for LRS vs MRS, respectively. Adenosquamous histology, G3 disease, tumors > 2 cm, and LN positivity were factors independently linked to increased risk of death. Overall, LRS vs MRS did not appear to compromise DSS in a select group of young women with stage IB1 cervical cancer.