First case of pregnancy after radical trachelectomy and pelvic irradiation.
BACKGROUND
Invasive carcinoma of the cervix above stage IA1 is usually treated by radical hysterectomy and/or radiotherapy, leading to definitive sterility.


METHODS
We report the case of a young patient with stage IB1 carcinoma of the cervix treated in June 1995 by radical trachelectomy (according to the technique described by Dargent) and adjuvant brachy + teletherapy. A hormonal replacement of "menopause" was prescribed. One year later, she became pregnant and at 27 weeks gestation gave birth to a healthy child by cesarean section.


CONCLUSIONS
Radical trachelectomy is one of the most recent therapeutic steps forward in the treatment of early stage invasive cervical carcinoma, which can surely be treated in some cases preserving child-bearing potential.
Service de Gynécologie-Obstétrique, Hôtel-Dieu, Lyon.
X J
XJ
Martin
F
F
Golfier
P
P
Romestaing
D
D
Raudrant
D000328:Adult; D002294:Carcinoma, Squamous Cell / Q000532:radiotherapy* / Q000601:surgery*; D002584:Cervix Uteri / Q000601:surgery*; D005260:Female; D006801:Humans; D011247:Pregnancy; D002583:Uterine Cervical Neoplasms / Q000532:radiotherapy* / Q000601:surgery*