Fertility-sparing treatment in cervical cancer: Abdominal trachelectomy

Fertility-sparing radical abdominal trachelectomy for cervical carcinoma.

OBJECTIVES Radical trachelectomy has emerged as a reasonable fertility-sparing operation for selected patients with stage I cervical cancer. The purpose of this report is to describe our technique of radical abdominal trachelectomy, a fertility-sparing operation in women with cervical cancer, and review the current literature on this procedure. METHODS A review of a prospectively maintained d...

Laparoscopic Fertility Sparing Management of Cervical Cancer

laparoscopic fertility sparing management of cervical cancer

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A less radical treatment option to the fertility-sparing radical trachelectomy in patients with stage I cervical cancer.

The purpose of the two pilot studies was to determine the feasibility and safety of using less-radical fertility-preserving surgery: laparoscopic lymphadenectomy with sentinel lymph node identification (SLNI) followed by a large cone or simple trachelectomy (LAP-I protocol) and the LAP-III protocol, which includes neoadjuvant chemotherapy (NAC). LAP-I: Forty women underwent laparoscopic SLNI, f...

Fertility-sparing management of a stage IB1 small cell neuroendocrine cervical carcinoma with radical abdominal trachelectomy and adjuvant chemotherapy

•Neuroendocrine (NEC) tumors of the cervix are very rare and aggressive.•We present a case of Stage IB1 disease managed with fertility-sparing surgery.•Further investigation into fertility-sparing surgery is warranted.