Preserving fertility in invasive cervical adenocarcinoma by abdominal radical trachelectomy and pelvic lymphadenectomy.
A 32-year-old female was diagnosed by loop electrosurgical excision procedure with adenocarcinoma in situ and a focus suspicious for positive lympho-vascular invasion. An abdominal radical trachelectomy was performed to preserve her uterus and fertility. The patient recovered without complications. The patient has had one year of follow-up without any evidences of recurrence. At present, the patient is not actively trying to become pregnant. We concluded that abdominal radical trachelectomy may be a surgical option for early stage cervical cancer treatment in young women who wish to preserve fertility.
Hatami
Mehrangiz
M
Department of Obstetrics and Gynecology, Taleghani Hospital, Shaheed Beheshti University of Medical Sciences, Tehran, Iran. Mehrangizhatami@yahoo.com
Del Priore
Giuseppe
G
Chudnoff
Scott G
SG
Goldberg
Gary L
GL
D000230:Adenocarcinoma / Q000601:surgery*; D000328:Adult; D002584:Cervix Uteri / Q000601:surgery; D004598:Electrosurgery; D005260:Female; D005298:Fertility; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D007431:Intraoperative Complications; D008197:Lymph Node Excision / Q000379:methods*; D011183:Postoperative Complications; D014057:Tomography, X-Ray Computed; D002583:Uterine Cervical Neoplasms / Q000601:surgery*