title: Fertility-sparing surgery for uterine cervical cancer.
abstract: The standard treatment for early cervical cancer of the uterus (CC) is radical hysterectomy with resection of the parametrium and pelvic lymphadenectomy. At least 40% of patients develop early-stage CC during child-bearing age, therefore preserving the uterus to maintain fertility has been an important consideration. Several surgical procedures including conization and vaginal or abdominal radical trachelectomy have been reported. These procedures are safe for removing lymph node negative CC tumors with <2 cm diameter. Recently, less radical surgical procedures that maintain fertility, such as conization, simple trachelectomy, minimally invasive surgery and neoadjuvant chemotherapy, have been indicated for tumors greater than 2 cm in diameter. In this review, we discuss the currently accepted surgical approaches for treating CC while maintaining fertility.
authors: Department of Obstetrics & Gynecology, Iwate Medical University School of Medicine, 19-1 Uchimaru, Morioka-City 020-8505, Iwate, Japan.
authors: Seiya
authors: S
authors: Sato
authors: Department of Obstetrics & Gynecology, Iwate Medical University School of Medicine, 19-1 Uchimaru, Morioka-City 020-8505, Iwate, Japan.
authors: Hiroaki
authors: H
authors: Itamochi
authors: Department of Obstetrics & Gynecology, Iwate Medical University School of Medicine, 19-1 Uchimaru, Morioka-City 020-8505, Iwate, Japan.
authors: Toru
authors: T
authors: Sugiyama
mesh_terms: D003131:Combined Modality Therapy; D005260:Female; D059247:Fertility Preservation; D006801:Humans; D020360:Neoadjuvant Therapy; D009367:Neoplasm Staging / Q000379:methods; D059351:Organ Sparing Treatments / Q000379:methods; D018579:Patient Selection; D011183:Postoperative Complications; D021701:Sentinel Lymph Node Biopsy; D002583:Uterine Cervical Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery*
keywords: cervical cancer; conization; fertility-sparing surgery; minimally invasive surgery; neoadjuvant chemotherapy; obstetric outcome; patient selection; radical trachelectomy; sentinel lymph node mapping; surgical complications