Aim: To evaluate and identify the risk factors for abnormal menstruation after radical trachelectomy. Methods: This study included 58 patients who underwent radical trachelectomy at our hospital between April 2005 and January 2018. Patients were divided into groups of those with no change in postoperative menstruation (regular [R] group; n = 46) and those with abnormal menstruation such as amenorrhea or hypomenorrhea (irregular [I] group; n = 12). The perioperative characteristics and fertility of the groups were compared retrospectively. The data were statistically analyzed using Student's t-test, Fisher's exact test and Mann-Whitney U test for univariate analysis and logistic regression analysis for multivariate analysis, with the level of statistical significance set at P < 0.05. Results: Based on Federation of Gynecology and Obstetrics staging, 54 patients had stage IB1, 2 had stage IB2 and 2 had stage IIA1 cervical cancer. Eight patients received neoadjuvant chemotherapy. Pretreatment tumor size, residual uterine cavity length and neoadjuvant and postoperative chemotherapy use were not significantly different between the groups. Abnormal menstruation was significantly more common in patients with postoperative pelvic infection (R group, 13.0%; I group, 58.3%) and cervical stenosis (R group, 15.2%; I group, 58.3%). Conclusion: To maintain healthy menstruation even after radical trachelectomy, it is important to prevent postoperative pelvic infection and cervical stenosis.

HighlightsLaparoscopy is useful for the observation and treatment of vaginal cuff dehiscence.This case highlights the merits of both laparoscopy and transvaginal cuff suturing.Peritonitis and abdominal adhesion must be considered in vaginal cuff evisceration.

Polypoid endometriosis is an uncommon and distinctive variant of endometriosis. It was first described by Mostoufizadeh and Scully in 1980. Polypoid endometriosis often forms large multiple masses and mimics malignant tumors. Endometriosis typically affects women of reproductive age; however, polypoid endometriosis commonly occurs in older women. We report a case of polypoid endometriosis that occurred in a very young female; it arose from the cervix and extended into the Pouch of Douglas. Although it mimicked a uterine malformation on ultrasound at patient

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Systemic lupus erythematosus (SLE) may be associated with various types of malignancy. However, SLE occurring with ovarian cancer seems rare, and reliable therapeutic approaches for such cases have yet to be identified. We herein report a case of SLE with ovarian cancer that was successfully treated with corticosteroid, plasmapheresis and chemotherapy. This case may provide new insights into treatment approaches for SLE with ovarian cancer.