Trachelectomy during pregnancy: What has experience taught us?

The treatment of early stage cervical malignancy in a pregnant patient remains a challenge. We report the successful application of a vaginal radical trachelectomy (VRT) during pregnancy to treat a patient diagnosed with early stage cervical cancer and subsequently review the published work. A 22‐ye...

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Veröffentlicht in:The journal of obstetrics and gynaecology research 2015-04, Vol.41 (4), p.640-645
Hauptverfasser: Saso, Srdjan, Sawyer, Renata, O'Neill, Nicole M., Tzafetas, Menelaos, Sayasneh, Ahmed, Hassan Hamed, Ali, Elliott, Freya, Thum, Meen‐Yau, Ghaem‐Maghami, Sadaf, Lee, Men‐Jean, Smith, J. Richard, Del Priore, Giuseppe
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Sprache:eng
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Zusammenfassung:The treatment of early stage cervical malignancy in a pregnant patient remains a challenge. We report the successful application of a vaginal radical trachelectomy (VRT) during pregnancy to treat a patient diagnosed with early stage cervical cancer and subsequently review the published work. A 22‐year‐old female diagnosed at the gestational age of 17 weeks with International Federation of Gynecology and Obstetrics stage IB1 squamous cell cervical carcinoma was treated with VRT at 19(+5) weeks. At 36 weeks, the patient underwent a scheduled cesarean section. A healthy male infant was delivered with a weight of 2795 g. After 13 months of follow‐up, the patient is doing well with no evidence of recurrent disease.
ISSN:1341-8076
1447-0756
DOI:10.1111/jog.12594