Successful pregnancy after radical trachelectomy and McDonald cerclage placement in a 42-year-old with invasive cervical adenocarcinoma

Author(s):  
Jonathan D. Black ◽  
Masoud Azodi ◽  
Nick S. Macklon ◽  
Human M. Fatemi ◽  
Robert J. Norman ◽  
...  
2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Yuji Kamei ◽  
Ai Miyoshi ◽  
Nao Wakui ◽  
Takeya Hara ◽  
Serika Kanao ◽  
...  

Women in the reproductive age group diagnosed with cervical cancer can receive radical trachelectomy in case they wish to preserve fertility. However, the indication for this procedure in infertile women with cervical cancer is controversial depending on the underlying cause of infertility. Here, we present a case of a successful pregnancy following myomectomy accompanied with abdominal radical trachelectomy for an infertile woman with early cervical cancer. The patient was a 38-year-old nulliparous woman with a significant past medical history of infertility of unknown origin. She had been undergoing treatment with assisted reproductive technologies including artificial insemination and in vitro fertilization for over four years. During her treatment for infertility, she was diagnosed with stage IB1 cervical squamous cell carcinoma. She received abdominal radical trachelectomy and abdominal myomectomy in the same surgical procedure. Six months after the surgery, she went for the first embryo transfer and became pregnant. At 26 weeks of pregnancy, a male baby weighing 980 g was delivered with an Apgar score of 3/5/7 by cesarean section due to chorioamnionitis. The baby has received general care in a neonatal intensive care unit for four months and weighed 4520 g when discharged.


2012 ◽  
Vol 97 (3) ◽  
pp. S19-S20 ◽  
Author(s):  
S.J. Mucowski ◽  
L. Muderspach ◽  
R.J. Paulson ◽  
C. Templeman ◽  
K. Chung

2021 ◽  
Vol 20 (5) ◽  
pp. 179-183
Author(s):  
A. L. Chernyshova ◽  
L. A. Kоlomiets ◽  
V. I. Chernov ◽  
Y. M. Trushuk ◽  
D. V. Podolko ◽  
...  

Currently, the development and implementation of organ-preserving methods for patients of reproductive age are the treatment priorities in modern oncology. We report a case of two successful pregnancy outcomes in a 29-year-old patient with stage IB invasive cervical cancer, who underwent laparoscopic radical trachelectomy using high-tech diagnostic and treatment techniques. Alotech, an innovative radiopharmaceutical, and Rad Pointer laparoscopic gamma scanner were used for intraoperative detection of sentinel lymph nodes. In addition, a uterine obturator was formed during surgery using a titanium nickelide shape memory implant. This case showed the feasibility of preserving the uterus after delivery by caesarean section, with no evidence of tumor recurrence according to the findings of intraoperative morphological examination. 


2002 ◽  
Vol 81 (8) ◽  
pp. 791-792 ◽  
Author(s):  
Evangelos Alexopoulos ◽  
Savvas Efkarpidis ◽  
Toby N. Fay ◽  
Karen M. Williamson

2021 ◽  
Vol 48 (2) ◽  
pp. 184-187
Author(s):  
Hye Jeong Hue ◽  
Hyun Ji Choi ◽  
Jee Yoon Park ◽  
Dong Hoon Suh ◽  
Jung Ryeol Lee ◽  
...  

Radical trachelectomy is a fertility-preserving alternative to radical hysterectomy in carefully selected young women with early-stage cervical cancer. However, in cases with subsequent severe cervical stenosis, assisted reproductive techniques can be difficult. This is a case report of a 34-year-old patient who underwent robot-assisted radical trachelectomy and cerclage for early-stage (IB2) adenosquamous carcinoma. Three months after surgery, the patient underwent ovarian stimulation using a gonadotropin-releasing hormone antagonist protocol. As it was impossible to perform transcervical embryo transfer due to the almost complete absence of the cervical opening, transmyometrial embryo transfer under ultrasound guidance was performed. This resulted in a successful singleton pregnancy. This is the first case of successful pregnancy conceived by in vitro fertilization with transmyometrial embryo transfer in a patient who had previously undergone robot-assisted radical trachelectomy.


Sign in / Sign up

Export Citation Format

Share Document