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Radical Trachelectomy Performed During Pregnancy: A Review of the Literature
  1. Mihai Emil Căpîlna, Associate Professor,
  2. Belá Szabo, Professor,
  3. Janos Becsi,
  4. Nicolae Ioanid and
  5. Bogdan Moldovan
  1. * First Obstetrics and Gynaecology Clinic, University of Medicine and Pharmacy, Târgu-Mureş;
  2. First Department of Oncologic Surgery, Gynecologic Oncology Unit, Regional Institute of Oncology, Iaşi; and
  3. Department of General Surgery, “St. Constantin” Hospital, Braşov, Romania, EU.
  1. Address correspondence and reprint requests to Mihai Emil Căpîlna, Str. Koteles Samuel No. 16, 540057, Târgu-Mureş, Romania, European Union. E-mail: mcapilna{at}gmail.com.

Abstract

Objective Cervical cancer is one of the most frequent malignant diseases diagnosed during pregnancy. Abdominal or vaginal radical trachelectomies are fertility-preserving alternatives to radical hysterectomy for young women with early-stage cervical cancer that can be performed during ongoing pregnancy.

Methods A literature review of articles on this subject was conducted through a Medline search for articles published in English or French.

Results At this moment, 21 cervical cancer patients, including ours (4 stage IA2, 16 IB1, and 1 IB2) who underwent radical trachelectomy during pregnancy have been reported. Of these, 10 were performed by vaginal route and 11 were abdominal radical trachelectomies.

Conclusions Radical trachelectomy could be offered as an option for pregnant patients with early invasive cervical cancer. It may help women avoid the triple losses of a desired pregnancy, fertility, and motherhood.

  • Radical trachelectomy
  • Pregnancy
  • Cervical cancer

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Footnotes

  • The authors declare no conflicts of interest.

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