title: Questionnaire survey of the current status of radical trachelectomy in Japan.
abstract: BACKGROUND
  The number of young patients with cervical cancer has been increasing recently in Japan. Radical trachelectomy is a potential option for patients who wish to preserve their fertility, but its status is not clear. The present survey was conducted to clarify the status of radical trachelectomy in Japan.
  
  
  METHODS
  Questionnaires were mailed to 164 selected institutions based on tumor registration with the Japanese Obstetrics Gynecology Society. The subjects were patients undergoing radical trachelectomy between 2000 and 2008.
  
  
  RESULTS
  The response rate to the questionnaire was 88.4% (145/164). Radical trachelectomy was performed on 269 patients in 26 institutions (17.9%) . Most cases (74.7%, 201/269) underwent an abdominal approach. Three institutions had performed more than 21 cases (max. 61 cases), whereas 8 institutions had performed only one case. Twenty pregnancies and 13 deliveries were achieved and the frequency of delivery later than the 29th gestational week was 62% (8/13). "Tumor size ≤2 cm (81%)" and "stage ≤Ib1 (96%)" were commonly regarded as indications for radical trachelectomy. On the other hand, 46% of the centers did not consider the histological type as an indication.
  
  
  CONCLUSIONS
  This survey is the first report on the current status of radical trachelectomy in Japan. It reveals a difference in the criteria for surgery applied in each institution.
authors.affiliation: Department of Obstetrics and Gynecology, School of Medicine, Tottori University, 36-1 Nishi-cho, Yonago, Tottori 683 8504, Japan. sshinya@med.tottori-u.ac.jp
authors.forename: Shinya
authors.initials: S
authors.lastname: Sato
authors.forename: Daisuke
authors.initials: D
authors.lastname: Aoki
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Kobayashi
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Saito
authors.forename: Ryuichiro
authors.initials: R
authors.lastname: Nishimura
authors.forename: Tadayoshi
authors.initials: T
authors.lastname: Nagano
authors.forename: Nobuo
authors.initials: N
authors.lastname: Yaegashi
authors.forename: Takayuki
authors.initials: T
authors.lastname: Enomoto
authors.forename: Junzo
authors.initials: J
authors.lastname: Kigawa
mesh_terms: D005260:Female; D005298:Fertility; D013509:Gynecologic Surgical Procedures / Q000379:methods* / Q000706:statistics & numerical data; D006801:Humans; D007564:Japan; D009367:Neoplasm Staging; D011795:Surveys and Questionnaires; D002583:Uterine Cervical Neoplasms / Q000601:surgery*