title: First case of vaginal radical trachelectomy in a pregnant patient.
abstract: Women who present with cervical carcinoma during pregnancy pose for us a clinical problem. In general, three treatment options exist: (i) radical hysterectomy with termination of pregnancy, (ii) a planned delay, or (iii) chemotherapy until lung maturation has occurred, both followed by a radical hysterectomy. Vaginal radical trachelectomy is an alternative approach to preserve the pregnancy. We report on a woman with a stage IBI cervical carcinoma, diagnosed at 16 weeks of gestation treated with vaginal radical trachelectomy. At a gestational age of 36 weeks, a cesarean section was performed, followed by radical hysterectomy. Follow-up of 9 months is uneventful for both the mother and the child. The vaginal radical trachelectomy is a new approach in the treatment of cervical carcinoma during pregnancy.
authors.affiliation: Department of Obstetrics and Gynaecology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands. h.nieuwenhof@obgyn.umcn.nl
authors.forename: H P
authors.initials: HP
authors.lastname: van de Nieuwenhof
authors.forename: M A P C
authors.initials: MA
authors.lastname: van Ham
authors.forename: F K
authors.initials: FK
authors.lastname: Lotgering
authors.forename: L F A G
authors.initials: LF
authors.lastname: Massuger
mesh_terms: D000328:Adult; D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D011247:Pregnancy; D002583:Uterine Cervical Neoplasms / Q000473:pathology / Q000601:surgery*