This study is an open-label, multicenter, randomized, phase II non-inferiority trial (proof of concept study). Its purpose is to evaluate the safety and efficacy of extrafascial hysterectomy plus pelvic-lymph node dissection compared with the standard modified radical hysterectomy in patients with stage IA2-IB1 cervical cancer ≤ 2cm.
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Inclusion Criteria: 1. Patients with histologically confirmed adenocarcinoma, squamous, or adenosquamous cancer of the cervix by LEEP, cone or cervical biopsy; 2. Aged between 18 and 70 years; 3. performance status 0-2 (ECOG, Eastern Cooperative Oncology Group) and / or greater than 70 points by the Karnofsky scale; 4. FIGO early stage IA2-IB1 ≤ 2cm; 5. Appropriated cardio-respiratory, hepato-renal and hematological reserves; and 6. Signing of the Consent Form. Exclusion Criteria: 1. Limiting systemic comorbidities including neuro-psychiatric disorders or obesity; 2. Apparent or confirmed uncontrolled infections; 3. Other malignancies in activity; 4. Previous radiation or chemotherapy treatment or major pelvic surgery; 5. History of drug allergies, and pregnancy or breast feeding; and 6. Evidence of more extensive disease at the time of surgery.