IMR Press / EJGO / Volume 33 / Issue 2 / pii/1631086388646-1005034033

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Original Research
Radical abdominal trachelectomy is a safe and fertility preserving option for women with early stage cervical cancer
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1 Department of Gynecologic Oncology, Zeynep Kamil Women and Children Diseases Education and Research Hospital, Istanbul (Turkey)
Eur. J. Gynaecol. Oncol. 2012, 33(2), 200–203;
Published: 10 April 2012
Abstract

Purpose of investigation: To present the surgical, oncological and obstetrical outcomes gained from patients who underwent radical abdominal trachelectomy (RAT) in Zeynep Kamil Women and Children Diseases Education and Research Hospital and radical Yeditepe University Hospital. Methods: A total of eight RATs were performed between 2003-2010. Data were obtained from medical and pathological records of the patients. Results: The mean age of the patients was 27.37 ± 6.39 years. The mean follow-up time of the patients was 33.62 ± 27.47 months. Three (37.5%) patients had a tumor size smaller than 2 cm, and five (62.5%) patients had a tumor size larger than 2 cm. Seven (87.5%) patients had Stage IB1 and one (12.5%) patient had Stage IIA tumor. Three (37.5%) patients had late postoperative complications: uterotubal abscess, severe lymphedema and lymphocyst. There were no recurrences. Three patients became pregnant which resulted in two live births and one abortus. The spontaneous pregnancy rate was 50%. Conclusion: We think that RAT is a reliable surgical option for a patient with early stage cervical cancer who wants to preserve fertility.
Keywords
Radical abdominal trachelectomy
Early stage cervical cancer
Pregnancy
Fertility
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