EC GYNAECOLOGY Case Report Simple Vaginal Trachelectomy for Small Volume Cervical Cancer: Case Report and Review of the Literature

The radical hysterectomy with pelvic lymphadenectomy is the standard treatment for stages IA2-IB1 cervical cancer. In the literature, there is an ongoing debate whether less radical surgery (conization, simple trachelectomy or simple hysterectomy) can be a valuable option in selected patients with early-stage small volume cervical cancer. We report here a case of an elderly patient (80 years of age) with an early-stage IB1 small volume cervical cancer where a simple vaginal trachelectomy was the only possible surgical approach, due to a completely obliterated abdomen related to previous extensive surgery and radiation therapy. In response to this case, a literature search was performed on PUBMED and MEDLINE of all studies published as original articles in English up to June 2017, using the search terms cervical cancer, early-stage and trachelectomy. We reviewed the recent literature on less radical surgery in cervical cancer as well as ongoing trials.