Laparoscopic radical abdominal trachelectomy for the management of stage IB1 cervical cancer at 14 weeks’ gestation: case report and review of the literature

Re: Laparoscopic radical abdominal trachelectomy for the management of stage IB1 cervical cancer at 14 weeks' gestation: case report and review of the literature

“…for an excellent description of the operative technique of laparoscopic radical trachelectomy preserving both uterine arteries, and for a surgical triumph in this case with excellent obstetric outcome . The article clearly describes the challenges faced by the team . We too believe in tailoring treatment for cervical cancers to the individual, particularly in young women who are faced with several dilemmas and choices, and are in agreement with the authors about the options discussed; however, was an examination under anaesthesia (EUA) and repeat large loop excision of the transformation zone (LLETZ) at the cancer centre not considered in the management, as surely this would have helped this difficult decision‐making process, particularly if combined with a pelvic lymphadenectomy?…”

“…We congratulate Kyrigou et al. for an excellent description of the operative technique of laparoscopic radical trachelectomy preserving both uterine arteries, and for a surgical triumph in this case with excellent obstetric outcome . The article clearly describes the challenges faced by the team .…”

Abdominal Radical Trachelectomy for Early-Stage Cervical Cancer During Pregnancy: A Provocative Surgical Approach. Overview of the Literature and a Single-Institute Experience

“…12,18 The histological types were squamous cell carcinoma (SCC) in most patients, adenocarcinoma (adenoCa) in 6 patients, 6,8,9,11,12,19 adenosquamous cell carcinoma in 1 patient, 9 and papillary mucinous adenoCa in 1 patient. 18 Table 1 gives a picture of radical trachelectomy cases during pregnancy and mentions tumor characteristics and pregnancy outcome.…”

Management of gynaecological cancer in pregnancy

“…Slightly larger stage IB1 tumours up to 2 cm with no obvious nodal spread may be managed with radical trachelectomy in the first trimester, thereby preserving the pregnancy. In 2015, Kyrgiou et al . published a case report of laparoscopic radical abdominal trachelectomy for the management of stage 1B1 cervical cancer at 14 weeks of gestation.…”