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2022-RA-1182-ESGO Successful term pregnancy following radical trachelectomy in a patient with early-stage invasive cervical carcinoma: the first case reported from Vietnam
  1. Nghia Trong Doan1,
  2. Tien van Nguyen2 and
  3. Lieu Thanh Ta2
  1. 1Oncology, University of Medicine and Pharmacy, Ho Chi Minh, Viet Nam
  2. 2Oncology Hospital, Ho Chi Minh city, Ho Chi Minh, Viet Nam


Introduction/Background Radical trachelectomy is an alternative treatment for preserving fertility in selected patients with early stage cervical cancer. However, the rate of success term pregnancy after procedure is very low. We have performed 12 cases of radical trachelectomy with pelvic lymphadenectomy in The Oncology Hospital of Ho Chi Minh city between 7/2018 and 9/2020. The purpose of this report is to present one case of them had successful pregnancy and review the current literature on this procedure

Methodology Case report

Results The patient was a 37 year – old lady when she was diagnosed with Stage IA1 squamous cell carcinoma of cervix after a conization with positive margin in 2/2020. She was performed abdominal radical trachelectomy and pelvic lymphadenectomy. She attempted to become pregnant 6 months later and conceived naturally in 8/2020. At 35 weeks of gestation, she was admitted for caesarean section via transverse lower segment uterine incision and removal cerclage under spinal anesthesia. A healthy male infant weighing 2,100 g was delivered with good Apgar

Conclusion Radical trachelectomy with pelvic lymphadenectomy is a feasible operation for selected women with early stage cervical cancer who desire to preserve reproductive function. Menstruation and reproductive function may be preserved after bilateral uterine vessel ligation.

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