Reviewer’s report
Title: 
Unilateral ovarian recurrence 5 years after hysterectomy for microinvasive
squamous cervical cancer stage IA1: a rare case report
Version: 
2 
Date: 
13 Apr 2023
Reviewer's report:
I believe you have improved the article, however I still have some minor
suggestions. 
- In the text, also in the abstract it seems that you are sometimes writing about
metastasis, and sometimes about ovarian SCC (such as in the abstract: line 39,
Postoperative pathology showed moderately differentiated ovarian SCC with
negative pelvic lymph nodes). I would suggest you use the same terminology,
throuout the text and then in the conclusion you can explain that possibility of
primary ovarian SCC could not be completely ruled out).
- Comment 3 and 4 are not really answered.
- If you used CARE guidelines, it has to be noted in the text.
Background:
According to ESGO guidelines: 
- Management of patients with stage T1a1 disease should be individualized
depending on the age, the desire for fertility preservation, and the presence or
absence of LVSI.
- Conization can be considered a definitive treatment as hysterectomy does not
improve the outcome (grade C).
In this case I agree with the other reviewer that what you wrote is not completely
true.
- What was the rationale for the CTRT after surgical treatment - was the patient
discussed at the tumour board?
- Is the patient currently without disease?
- I believe english language could be further improved.
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