Laparoscopic radical trachelectomy for preservation of fertility in early cervical cancer. A case report
Radical hysterectomy is the standard treatment for patients with early-stage cervical cancer. However, for women who wish to preserve fertility, radical trachelectomy is a safe and viable option. To present the first case of laparoscopic radical trachelectomy performed in the National Cancer Institu...
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| Veröffentlicht in: | Cirugia y cirujanos 2016-07, Vol.84 (4), p.329 |
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| container_title | Cirugia y cirujanos |
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| creator | Isla Ortiz, David Montalvo-Esquivel, Gonzalo Chanona-Vilchis, José Gregorio Herrera Gómez, Ángel Ñamendys Silva, Silvio Antonio Pareja Franco, Luis René |
| description | Radical hysterectomy is the standard treatment for patients with early-stage cervical cancer. However, for women who wish to preserve fertility, radical trachelectomy is a safe and viable option.
To present the first case of laparoscopic radical trachelectomy performed in the National Cancer Institute, and published in Mexico.
Patient, 34 years old, gravid 1, caesarean 1, stage IB1 cervical cancer, squamous, wishing to preserve fertility. She underwent a laparoscopic radical trachelectomy and bilateral dissection of the pelvic lymph nodes. Operation time was 330minutes, and the estimated blood loss was 100ml. There were no intraoperative or postoperative complications. The final pathology reported a tumour of 15mm with infiltration of 7mm, surgical margins without injury, and pelvic nodes without tumour. After a 12 month follow-up, the patient is having regular periods, but has not yet tried to get pregnant. No evidence of recurrence.
Laparoscopic radical trachelectomy and bilateral pelvic lymphadenectomy is a safe alternative in young patients who wish to preserve fertility with early stage cervical cancer. |
| doi_str_mv | 10.1016/j.circir.2015.04.035 |
| format | Article |
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To present the first case of laparoscopic radical trachelectomy performed in the National Cancer Institute, and published in Mexico.
Patient, 34 years old, gravid 1, caesarean 1, stage IB1 cervical cancer, squamous, wishing to preserve fertility. She underwent a laparoscopic radical trachelectomy and bilateral dissection of the pelvic lymph nodes. Operation time was 330minutes, and the estimated blood loss was 100ml. There were no intraoperative or postoperative complications. The final pathology reported a tumour of 15mm with infiltration of 7mm, surgical margins without injury, and pelvic nodes without tumour. After a 12 month follow-up, the patient is having regular periods, but has not yet tried to get pregnant. No evidence of recurrence.
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To present the first case of laparoscopic radical trachelectomy performed in the National Cancer Institute, and published in Mexico.
Patient, 34 years old, gravid 1, caesarean 1, stage IB1 cervical cancer, squamous, wishing to preserve fertility. She underwent a laparoscopic radical trachelectomy and bilateral dissection of the pelvic lymph nodes. Operation time was 330minutes, and the estimated blood loss was 100ml. There were no intraoperative or postoperative complications. The final pathology reported a tumour of 15mm with infiltration of 7mm, surgical margins without injury, and pelvic nodes without tumour. After a 12 month follow-up, the patient is having regular periods, but has not yet tried to get pregnant. No evidence of recurrence.
Laparoscopic radical trachelectomy and bilateral pelvic lymphadenectomy is a safe alternative in young patients who wish to preserve fertility with early stage cervical cancer.</description><subject>Adult</subject><subject>Blood Loss, Surgical</subject><subject>Carcinoma, Squamous Cell - diagnostic imaging</subject><subject>Carcinoma, Squamous Cell - surgery</subject><subject>Cervix Uteri - surgery</subject><subject>Female</subject><subject>Fertility Preservation - methods</subject><subject>Humans</subject><subject>Laparoscopy - methods</subject><subject>Lymph Node Excision</subject><subject>Magnetic Resonance Imaging</subject><subject>Treatment Outcome</subject><subject>Uterine Cervical Neoplasms - diagnostic imaging</subject><subject>Uterine Cervical Neoplasms - surgery</subject><subject>Vagina - surgery</subject><issn>0009-7411</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1T8tqwzAQ1KGlSdP-QSn6AbtaSbbkYwh9QaCX9hyU9YooOJGQ1YL_vqYPGJgZhll2GLsDUYOA9uFYY8gzaimgqYWuhWou2FII0VVGAyzY9TgeZ2uN0FdsIVujbKvNkh22LrkcR4wpIM-uD-gGXrLDAw2EJZ4m7mPmKdNI-cuVEM88eu4plzCEMvFw5uTyMHGc8582uvOsa76e1Ug8U4q53LBL74aRbv94xT6eHt83L9X27fl1s95WCTSUChGUaVQ3P9cr8K2FVkvTCmNB6176fSf2VoNCK8Ejdp2w3tpGWkKpiECt2P3v3fS5P1G_SzmcXJ52_5PVN4XRWU0</recordid><startdate>201607</startdate><enddate>201607</enddate><creator>Isla Ortiz, David</creator><creator>Montalvo-Esquivel, Gonzalo</creator><creator>Chanona-Vilchis, José Gregorio</creator><creator>Herrera Gómez, Ángel</creator><creator>Ñamendys Silva, Silvio Antonio</creator><creator>Pareja Franco, Luis René</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope></search><sort><creationdate>201607</creationdate><title>Laparoscopic radical trachelectomy for preservation of fertility in early cervical cancer. A case report</title><author>Isla Ortiz, David ; Montalvo-Esquivel, Gonzalo ; Chanona-Vilchis, José Gregorio ; Herrera Gómez, Ángel ; Ñamendys Silva, Silvio Antonio ; Pareja Franco, Luis René</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p141t-cc137539647d31f68164276078144d2fb90b8413c821fcc9908f88528ec23ee13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>spa</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Blood Loss, Surgical</topic><topic>Carcinoma, Squamous Cell - diagnostic imaging</topic><topic>Carcinoma, Squamous Cell - surgery</topic><topic>Cervix Uteri - surgery</topic><topic>Female</topic><topic>Fertility Preservation - methods</topic><topic>Humans</topic><topic>Laparoscopy - methods</topic><topic>Lymph Node Excision</topic><topic>Magnetic Resonance Imaging</topic><topic>Treatment Outcome</topic><topic>Uterine Cervical Neoplasms - diagnostic imaging</topic><topic>Uterine Cervical Neoplasms - surgery</topic><topic>Vagina - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Isla Ortiz, David</creatorcontrib><creatorcontrib>Montalvo-Esquivel, Gonzalo</creatorcontrib><creatorcontrib>Chanona-Vilchis, José Gregorio</creatorcontrib><creatorcontrib>Herrera Gómez, Ángel</creatorcontrib><creatorcontrib>Ñamendys Silva, Silvio Antonio</creatorcontrib><creatorcontrib>Pareja Franco, Luis René</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><jtitle>Cirugia y cirujanos</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Isla Ortiz, David</au><au>Montalvo-Esquivel, Gonzalo</au><au>Chanona-Vilchis, José Gregorio</au><au>Herrera Gómez, Ángel</au><au>Ñamendys Silva, Silvio Antonio</au><au>Pareja Franco, Luis René</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Laparoscopic radical trachelectomy for preservation of fertility in early cervical cancer. A case report</atitle><jtitle>Cirugia y cirujanos</jtitle><addtitle>Cir Cir</addtitle><date>2016-07</date><risdate>2016</risdate><volume>84</volume><issue>4</issue><spage>329</spage><pages>329-</pages><issn>0009-7411</issn><abstract>Radical hysterectomy is the standard treatment for patients with early-stage cervical cancer. However, for women who wish to preserve fertility, radical trachelectomy is a safe and viable option.
To present the first case of laparoscopic radical trachelectomy performed in the National Cancer Institute, and published in Mexico.
Patient, 34 years old, gravid 1, caesarean 1, stage IB1 cervical cancer, squamous, wishing to preserve fertility. She underwent a laparoscopic radical trachelectomy and bilateral dissection of the pelvic lymph nodes. Operation time was 330minutes, and the estimated blood loss was 100ml. There were no intraoperative or postoperative complications. The final pathology reported a tumour of 15mm with infiltration of 7mm, surgical margins without injury, and pelvic nodes without tumour. After a 12 month follow-up, the patient is having regular periods, but has not yet tried to get pregnant. No evidence of recurrence.
Laparoscopic radical trachelectomy and bilateral pelvic lymphadenectomy is a safe alternative in young patients who wish to preserve fertility with early stage cervical cancer.</abstract><cop>Spain</cop><pmid>26738647</pmid><doi>10.1016/j.circir.2015.04.035</doi><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Adult Blood Loss, Surgical Carcinoma, Squamous Cell - diagnostic imaging Carcinoma, Squamous Cell - surgery Cervix Uteri - surgery Female Fertility Preservation - methods Humans Laparoscopy - methods Lymph Node Excision Magnetic Resonance Imaging Treatment Outcome Uterine Cervical Neoplasms - diagnostic imaging Uterine Cervical Neoplasms - surgery Vagina - surgery |
| title | Laparoscopic radical trachelectomy for preservation of fertility in early cervical cancer. A case report |
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