title: Radical trachelectomy for clear cell carcinoma of the cervix in a 6-year old: a case report, review, and description of the surgical technique.
abstract: Clear cell carcinoma is a rare pediatric cervical cancer, seen primarily in the setting of in utero diethylstilbesterol exposure. Historically, this type of cancer has been treated with radical hysterectomy and lymph-node dissection, rendering patients incapable of carrying a pregnancy in the future. We describe a young patient with clear cell carcinoma of the cervix who, through a multidisciplinary collaboration, was managed by a fertility-sparing alternative surgical approach--a radical trachelectomy. We present the surgical technique and review the current evidence regarding the use of radical trachelectomy as a fertility-sparing procedure in young patients with cervical cancer.
authors: Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, MA 02120, USA. flester@partners.org
authors: Felicia C
authors: FC
authors: Lester
authors: Diana L
authors: DL
authors: Farmer
authors: Joseph T
authors: JT
authors: Rabban
authors: Lee-May
authors: LM
authors: Chen
mesh_terms: D018262:Adenocarcinoma, Clear Cell / Q000473:pathology / Q000601:surgery*; D000328:Adult; D002584:Cervix Uteri / Q000473:pathology / Q000601:surgery; D002648:Child; D005260:Female; D005298:Fertility / Q000502:physiology*; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D008197:Lymph Node Excision; D011247:Pregnancy; D016896:Treatment Outcome; D002583:Uterine Cervical Neoplasms / Q000473:pathology / Q000601:surgery*