Less Radical Surgery for Patient With Early-Stage Cervical Cancer

Abstract

IntroductionSurgery 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.Case ReportA 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.ConclusionsTrachelectomy represents a valuable conservative surgical approach for early stage invasive cervical cancer.

Survival Rates of Cervical Cancer Patients in Malaysia

“…These include radical trachelectomy, cold knife conisation and simple trachelectomy with laparascopic lymphadenectomy (Karimi-Zarchi et al, 2013;Yousefi et al, 2013). They have been proven successful in preserving fertility for cervical cancer patients where those patients who received radical trachelectomy have become successfully pregnant and have good survival rates (Ishioka et al, 2006).…”