Radical Trachelectomy Performed During Pregnancy: A Review of the Literature

Căpîlna, Mihai Emil; Szabó, Béla; Bécsi, János; Ioanid, Nicolae; Moldovan, Bogdan

doi:10.1097/igc.0000000000000655

Cited by 20 publications

(18 citation statements)

References 27 publications

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“…RT during pregnancy was originally performed by Ungar et al in 2006 . Fewer than 50 cases have been reported so far . In Japan, only four reports, including our case, have been published.…”

Section: Discussionmentioning

confidence: 84%

“…12 Fewer than 50 cases have been reported so far. 13 In Japan, only four reports, including our case, have been published. RT for pregnant patients is difficult both in terms of performing the operation and managing the pregnancy after it.…”

Section: Discussionmentioning

confidence: 88%

“…On the other hand, four of eight cases with abdominal RT in Japan resulted in emergency operations. Câpîlna et al 13 also reported in their review that the incidence of abortion seemed to be higher in patients who underwent abdominal RT than that in those who underwent vaginal RT. Of course, differences in obstetrical management may exist, but we believe that the less radical procedure of vaginal RT might lead to better obstetrical results.…”

Section: Discussionmentioning

confidence: 94%

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Obstetrical prognosis of patients who underwent vaginal radical trachelectomy during pregnancy

Umemoto

Ishioka

Mizugaki

et al. 2019

J of Obstet and Gynaecol

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Aim Radical trachelectomy (RT) with pelvic lymphadenectomy has become an option for young patients with early invasive uterine cervical cancer who decide to maintain their fertility. However, this operative method entails a high risk for the following pregnancy due to its radicality. Therefore, RT for pregnant patients can be a challenge both for gynecologic oncologists and obstetricians. Methods We have performed vaginal RT for five pregnant patients with uterine cervical cancer stage 1B1 according to the method of Dargent et al. The operations were performed between 16 and 26 weeks of pregnancy, and the patients were followed up carefully according to the follow‐up methods we reported previously. Results Vaginal RT was performed for five patients without any troubles. Four of the patients continued their pregnancies until almost 34 weeks or longer under our previously published follow‐up schedule. The pregnancy of one patient was terminated at 26 weeks due to recurrence of the cancer. Conclusion Expansion of vaginal RT for pregnant patients with uterine cervical cancer could be a practical option for pregnant patients with early invasive uterine cervical cancer.

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“…RT during pregnancy was originally performed by Ungar et al in 2006 . Fewer than 50 cases have been reported so far . In Japan, only four reports, including our case, have been published.…”

Section: Discussionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 94%

See 1 more Smart Citation

Obstetrical prognosis of patients who underwent vaginal radical trachelectomy during pregnancy

Umemoto

Ishioka

Mizugaki

et al. 2019

J of Obstet and Gynaecol

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“…Although the literature is scanty, uterine artery preservation is described in 4 cases of ART during pregnancy 3,5,10,13 and 1 patient underwent ligation (only the left one), 15 we strongly believe in uterine artery preservation and we successfully managed to preserve them in our patient.…”

Section: Resultsmentioning

confidence: 70%

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

Rodolakis

Thomakos

Sotiropoulou³

et al. 2018

Int J Gynecol Cancer

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ObjectiveTreatment of pregnancy complication due to malignancy of the cervix constitutes a great clinical challenge between optimal maternal therapy and fetal viability. Radical trachelectomy in early-stage cervical cancer during pregnancy instead of radical hysterectomy presents an alternative approach that can offer a satisfactory outcome for the mother and fetus.Materials and Methods–ResultsA literature search of articles in English has been performed. Until now, 28 women with cervical cancer, including 2 who were managed and treated in our institute, who underwent a radical trachelectomy during pregnancy have been reported. We overviewed a total of 13 abdominal trachelectomies, 13 vaginal trachelectomies, and 2 laparoscopic trachelectomies.ConclusionsRadical trachelectomy can widen the therapeutic approach of early-stage cervical cancer in pregnant women who wish to preserve their pregnancy, providing a possibility of receiving the proper treatment with no delay.

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“…Because radical abdominal cervical resection is difficult, bleeding is high and the operation time is long (3.5 hours). Radical cervical resection is not recommended during pregnancy For patients with lymph node involvement and tumor diameter less than 2 cm, termination of pregnancy is recommended, but the European Society of Clinical Oncology (ESMO) believes that neoadjuvant chemotherapy (NACT) during pregnancy and postpartum radiotherapy and chemotherapy for cervical cancer are feasible for patients with lymph node‐positive stage I B1. For patients with stage I B1 cervical cancer whose tumor diameter is more than 2 cm, pelvic and abdominal lymph node resection or NACT is performed directly.…”

Section: Introductionmentioning

confidence: 99%

Diagnosis and treatment of cervical cancer in pregnant women

Beharee

Shi

et al. 2019

Cancer Medicine

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In recent years, the incidence of gynecological malignant tumors during pregnancy has increased, mainly due to the increased number of old age pregnancy. The most common gynecological malignant tumors in pregnancy are cervical cancer, accounting for 71.6%, followed by ovarian malignant tumors, accounting for 7.0%. The incidence of cervical cancer in pregnancy is itself not very high, and the symptoms are easily confused with other diseases in pregnancy. During pregnancy, gynecological examination is limited, and therefore, the rate of misdiagnosis is higher. The treatment of cervical cancer during pregnancy is related to many factors, such as tumor size, pathological type, period of gestation, lymph node involvement, and patients' willingness to maintain pregnancy. As a reason of these factors, it is difficult to determine the optimal treatment. This article reviews the research progress on the diagnosis and treatment principles of cervical cancer in pregnancy, in order to strike a balance between effective treatment of tumors and protection of fetal health, and avoid delays in treatment and preterm delivery.

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Radical Trachelectomy Performed During Pregnancy: A Review of the Literature

Cited by 20 publications

References 27 publications

Obstetrical prognosis of patients who underwent vaginal radical trachelectomy during pregnancy

Obstetrical prognosis of patients who underwent vaginal radical trachelectomy during pregnancy

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

Diagnosis and treatment of cervical cancer in pregnant women

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