First childbirth after fertility sparing operation for cervical cancer 1B1 in UKC-LJ
Case report
Abstract
Cervical cancer can affect women in their reproductive age. At stage IB1 fertility function can be preserved by radical trachelectomy and pelvic lymphadenectomy. This is the operation of the uterine cervix removal and the surrounding paracervical tissue (parametrii) in combination with pelvic lymph nodes, while the uterine corpus is put in place. We represent a case report of a 32-year old nulipara with cervical cancer stage 1B1. The patient, who was treated with radical fertility saving operation, later became pregnant and gave birth.
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References
Rak v Sloveniji 2013. Ljubljana: Onkološki inštitut Ljubljana, Epidemiologija in register raka, Register raka Republike Slovenije, 2016.
Uršič Vrščaj M, Smrkolj Š, Petrič P, Primic Žakelj M, Bračko M, Stržinar M, et al. Smernice za obravnavo bolnic z rakom materničnega vratu v Sloveniji. Onkološki inštitut Ljubljana, 2012.
Koh WJ, Greer BE, Abu-Rustum NR, Apte MS, Campos SM, Cho KR, et al. Cervical Cancer, Version 2.2015: Featured Updates to the NCCN Guidelines. J Natl Compr Canc Netw. 2015;13(4):395-404. https://doi.org/10.6004/jnccn.2015.0055.
Willows K, Lennox G, Covens A. Fertility-sparing management in cervical cancer: balancing oncologic outcomes with reproductive success. Gynecol Oncol Res Pract. 2016 Oct;3(1):9. https://doi.org/10.1186/s40661-016-0030-9 PMID:27795832
Rob L, Skapa P, Robova H. Fertility-sparing surgery in patients with cervical cancer. Lancet Oncol. 2011 Feb;12(2):192–200. https://doi.org/10.1016/S1470-2045(10)70084-X PMID:20619737
Sonoda Y. Fertility preservation in patiens with cervical cancer. Oncology journal. 2015 (cited: 2017 March 27). Available from: http://www.cancernetwork.com/oncology-journal/fertility-preservation-patients-cervical-cancer
Dargent DB, Roy M, et al. La trachelectomie elargie (TE) une alternative a l’hysterectomie radicale dans le traitement des cancers infiltrants developes sur la face externe du col uterin. J Obstet Gynaecol. 1994;2:285–92.
Ramirez PT, Schmeler KM, Soliman PT, Frumovitz M. Fertility preservation in patients with early cervical cancer: radical trachelectomy. Gynecol Oncol. 2008 Sep;110(3 Suppl 2):S25–8. https://doi.org/10.1016/j.ygyno.2008.03.025 PMID:18501409
Royal College of Obstetricians and Gynaecologist. Scientific Impact Paper No. 35. Fertility sparing treatment in gynaecological cancerts. London: Royal College of Obstetricians and Gynaecologists; 2013.
Ribeiro Cubal AF. Ferreira Carvalho JI, Martins Costa MF, Tavares Branco AP. Fertility sparing surgery for early stage cervical center. International Journal of Surgical Oncology. 2012 (cited 2017 March 23). Available from: http://dx.doi.org/10.1155/2012/936534.
Diaz JP, Sonoda Y, Leitao MM, Zivanovic O, Brown CL, Chi DS, et al. Oncologic outcome of fertility-sparing radical trachelectomy versus radical hysterectomy for stage IB1 cervical carcinoma. Gynecol Oncol. 2008 Nov;111(2):255–60. https://doi.org/10.1016/j.ygyno.2008.07.014 PMID:18755500
Hauerberg L, Høgdall C, Loft A, Ottosen C, Bjoern SF, Mosgaard BJ, et al. Vaginal Radical Trachelectomy for early stage cervical cancer. Results of the Danish national single center strategy. Gynecol Oncol. 2015 Aug;138(2):304–10. https://doi.org/10.1016/j.ygyno.2015.05.016 PMID:26026821
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