[Fertility preservation in early cervical cancer].
OBJECTIVE
Evaluation of surgical techniques leading to fertility preservation in patients with early cervical cancer.


METHODS
Carcinological and obstetrical follow-up of 95 patients treated with radical trachelectomy between 1987 and 2002 for a cervical cancer stage less than Ib2.


RESULTS
Four recurrences were observed; all of these were in case of tumor more than 2 cm in diameter (P = 0.002), and three of the four recurrences were in case of lymph-vascular space involvement (P = 0.07). Among the 42 patients willing and able to procreate, 33 were pregnant. Fifty-six pregnancies were registered. The rate of late miscarriage was 19% and 34 living newborns were obtained.


CONCLUSIONS
In case of early cervical cancer, radical trachelectomy preserves fertility, leading to a good rate of living newborns without impairing the chances of survival.
D000022:Abortion, Spontaneous / Q000453:epidemiology; D000328:Adult; D005260:Female; D005298:Fertility; D013509:Gynecologic Surgical Procedures; D006801:Humans; D009364:Neoplasm Recurrence, Local; D009367:Neoplasm Staging; D011247:Pregnancy; D011256:Pregnancy Outcome; D002583:Uterine Cervical Neoplasms / Q000473:pathology* / Q000601:surgery*