IMR Press / EJGO / Volume 36 / Issue 6 / DOI: 10.12892/ejgo3035.2015

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 Case Report
Safety of converting aradical vaginal trachelectomy to a radical hysterectomy during pregnancy
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1 University Multidisciplinary Breast Clinic – Gynecological Oncology Unit, Antwerp University Hospital University of Antwerp, Edegem, Antwerp (Belgium)
Eur. J. Gynaecol. Oncol. 2015, 36(6), 734–736; https://doi.org/10.12892/ejgo3035.2015
Published: 10 December 2015
Abstract

Almost 1 % of all cervical cancers occur in pregnant women. The recommended management during the first 20 weeks is to sacrifice the pregnancy and to perform standard therapy, which means the loss of future fertility. A trachelectomy during pregnancy could preserve the ongoing pregnancy and future fertility. The author reports a radical vaginal trachelectomy (RVT) during 18 weeks of pregnancy. Definitive pathology of the trachelectomy specimen showed a tumor of 48 millimeters. Subsequently a radical hysterectomy was performed. At present, eight years and six months later the patient is well with no signs of recurrence. RVT is feasible in the first and second trimester of pregnancy. Clinical examination and MRI however are less accurate in the evaluation of stage and the extent of the tumor during pregnancy. Converting a RVT to a radical hysterectomy in a second time is safe in a pregnant woman.
Keywords
Cervical cancer
Pregnancy
Trachelectomy
Colposcopy
Magnetic resonance imaging
Safety
HPV
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