Vaginal laparoscopically assisted radical trachelectomy in cervical clear cell adenocarcinoma.
Adenocarcinoma of the cervix is a rare condition that has shown an increase in incidence, especially in the 20- to 34-year-old group. Adenocarcinoma represents about 5-10% of all tumours in this area, and, among these, the clear cell type accounts for 4-9%. This type of tumour affects mainly postmenopausal women but also occurs in young women with a history of prenatal exposure to diethylstilbestrol (DES). The prognosis for adenocarcinoma of the cervix is poor overall and worse for the clear cell variety. This article discusses a case of clear cell adenocarcinoma of the cervix, unrelated to intrauterine exposure to DES, in a woman of childbearing age who wished to preserve her fertility and was therefore treated by radical vaginal trachelectomy and pelvic lymphadenectomy.
Gynaecological Oncology Unit, La Paz University Hospital, Madrid, Spain.
Sara
S
Iacoponi
Maria Dolores
MD
Diestro
Ignacio
I
Zapardiel
María
M
Serrano
Javier De
JD
Santiago
cervical adenocarcinoma; clear cell carcinoma; fertility sparing; radical trachelectomy