title: Less radical surgery for patient with early-stage cervical cancer.
abstract: BACKGROUND
  Surgery in cervical cancer should be used with intention of cure. Radical abdominal trachelectomy is a feasible operation for selected patients with stage Iα-1β cervical cancer which fertility can be preserved.
  
  
  METHODS
  A 30-years-old woman with squamous cell cervical cancer stage (1 A II) diagnosed at September 2011 expressed a wish for fertility-sparing treatment. Radical abdominal hysterectomy and pelvic and para-aortic lymphadenectomy were performed which showed no evidence of lymphatic metastasis. Subsequently, at last follow-up (5 months post-surgery), good oncologic outcomes were found after this procedure. This was the first case of fertility-sparing radical trachelectomy procedures performed at our institution.
  
  
  CONCLUSIONS
  Trachelectomy represents a valuable conservative surgical approach for early stage invasive cervical cancer.
authors.affiliation: Department of Obstetrics and Gynecology, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, IR Iran.
authors.forename: Zohreh
authors.initials: Z
authors.lastname: Yousefi
authors.affiliation: Department of Obstetrics and Gynecology, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, IR Iran.
authors.forename: Zahra
authors.initials: Z
authors.lastname: Kazemianfar
authors.affiliation: Department of Obstetrics and Gynecology, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, IR Iran.
authors.forename: Sima
authors.initials: S
authors.lastname: Kadghodayan
authors.affiliation: Department of Obstetrics and Gynecology, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, IR Iran.
authors.forename: Malieheh
authors.initials: M
authors.lastname: Hasanzade
authors.affiliation: Department of Pathology, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, IR Iran.
authors.forename: Mahmoudreza
authors.initials: M
authors.lastname: Kalantari
authors.affiliation: Department of Obstetrics and Gynecology, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, IR Iran.
authors.forename: Mansoureh
authors.initials: M
authors.lastname: Mottaghi
keywords: Cervical Carcinoma; Fertility; Hysterectomy; Pregnancy