Q5: Past history/Comorbidity_______________________________

Q6: Histological type: _____________________________________

Q7: FIGO classification

FIGO 1 = IA1 2 = IA2 3 = IB1 4 = IB2 5 = IIA 6 = IIB 7 = IIIA 8 = IIIB 9 = IVA 10 = IVB

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