Vaginal radical trachelectomy: A valuable fertility-preserving option in the management of early-stage cervical cancer. A series of 50 pregnancies and review of the literature

2005 ◽  
Vol 98 (1) ◽  
pp. 3-10 ◽  
Author(s):  
Marie Plante ◽  
Marie-Claude Renaud ◽  
Iffath A. Hoskins ◽  
Michel Roy
Keyword(s):  
Cervical Cancer ◽  
Early Stage ◽  
Review Of The Literature ◽  
Radical Trachelectomy ◽  
Early Stage Cervical Cancer

Radical Trachelectomy Performed During Pregnancy: A Review of the Literature

2016 ◽  
Vol 26 (4) ◽  
pp. 758-762 ◽  
Author(s):  
Mihai Emil Căpîlna ◽  
Belá Szabo ◽  
Janos Becsi ◽  
Nicolae Ioanid ◽  
Bogdan Moldovan
Keyword(s):  
Cervical Cancer ◽  
Young Women ◽  
Early Stage ◽  
Invasive Cervical Cancer ◽  
Review Of The Literature ◽  
Ongoing Pregnancy ◽  
Vaginal Route ◽  
Radical Trachelectomy ◽  
Medline Search ◽  
Early Stage Cervical Cancer

ObjectiveCervical cancer is one of the most frequent malignant diseases diagnosed during pregnancy. Abdominal or vaginal radical trachelectomies are fertility-preserving alternatives to radical hysterectomy for young women with early-stage cervical cancer that can be performed during ongoing pregnancy.MethodsA literature review of articles on this subject was conducted through a Medline search for articles published in English or French.ResultsAt this moment, 21 cervical cancer patients, including ours (4 stage IA2, 16 IB1, and 1 IB2) who underwent radical trachelectomy during pregnancy have been reported. Of these, 10 were performed by vaginal route and 11 were abdominal radical trachelectomies.ConclusionsRadical trachelectomy could be offered as an option for pregnant patients with early invasive cervical cancer. It may help women avoid the triple losses of a desired pregnancy, fertility, and motherhood.

Pregnancy Outcomes After Abdominal Radical Trachelectomy for Early-Stage Cervical Cancer

2016 ◽  
Vol 26 (1) ◽  
pp. 163-168 ◽  
Author(s):  
Yoshifumi Kasuga ◽  
Hiroshi Nishio ◽  
Kei Miyakoshi ◽  
Suguru Sato ◽  
Juri Sugiyama ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Pregnancy Outcomes ◽  
Early Stage ◽  
Radical Trachelectomy ◽  
Early Stage Cervical Cancer

Outcomes of Fertility-Sparing Radical Trachelectomy in Early-Stage Cervical Cancer

2010 ◽  
Vol 17 (6) ◽  
pp. S6
Author(s):  
M.K. Kim ◽  
C.H. Choi ◽  
T. Song ◽  
H.S. Park ◽  
Y-Y. Lee ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Early Stage ◽  
Radical Trachelectomy ◽  
Fertility Sparing ◽  
Early Stage Cervical Cancer

Radical trachelectomy

2021 ◽  
pp. ijgc-2020-001782
Author(s):  
Blanca Segarra-Vidal ◽  
Jan Persson ◽  
Henrik Falconer
Keyword(s):  
Cervical Cancer ◽  
Multidisciplinary Approach ◽  
Early Stage ◽  
Obstetric Outcomes ◽  
Radical Trachelectomy ◽  
Local Resources ◽  
Fertility Sparing Surgery ◽  
Fertility Sparing ◽  
Early Stage Cervical Cancer ◽  
Prospective Trials

Radical trachelectomy is the ‘cornerstone’ of fertility-sparing surgery in patients with early-stage cervical cancer wishing to preserve fertility. Growing evidence has demonstrated the oncologic safety and subsequent favorable pregnancy outcomes in well-selected cases. In the absence of prospective trials, the decision on the appropriate surgical approach (vaginal, open, or minimally invasive surgery) should be based on local resources and surgeons’ preferences. Radical trachelectomy has the potential to preserve fertility in a large proportion of women with early-stage cervical cancer. However, prematurity and premature rupture of membranes are common obstetric complications after radical trachelectomy for cervical cancer. A multidisciplinary approach is crucial to optimize the balance between oncologic and obstetric outcomes. The purpose of this review is to provide an updated overview of the technical, oncologic, and obstetric aspects of radical trachelectomy.

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