|Title:||Radical trachelectomy for early stage cervical cancer: A case series and literature review||Authors:||CHIN-JUI WU
|Issue Date:||2017||Journal Volume:||56||Journal Issue:||2||Start page/Pages:||143-146||Source:||Taiwanese Journal of Obstetrics and Gynecology||Abstract:||
Objective Radical trachelectomy (RT) is an alternative treatment for preserving fertility in patients with cervical cancer. Because women with operable cervical cancer opting for fertility preservation are scarce, few cases have been reported in Taiwan. Here we report our cases series. Materials and Methods We retrospectively evaluated seven patients who underwent vaginal RT and three patients who underwent abdominal RT in a single medical institute for a median follow-up period of 5 years. Results The oncological outcome was highly satisfactory. All patients survived and are currently disease-free, except for two who had recurrence and received additional concurrent chemoradiation therapy. Other complications included urinary tract infection, cervical stenosis, and unilateral hydronephrosis. All complications were manageable with little long-term effects. However, no pregnancy was observed during the 5-year follow-up period. Conclusion RT is considered a complicated surgical procedure among gynecological operations. Here we review the literature and describe several factors associated with higher pregnancy rates. ? 2017
|DOI:||10.1016/j.tjog.2016.05.014||SDG/Keyword:||adult; Article; cancer mortality; cancer recurrence; cancer survival; case study; cervicectomy; chemoradiotherapy; clinical article; conception; early cancer; endometrium carcinoma; female; follow up; gynecologic surgery; human; hydronephrosis; postoperative complication; pregnancy outcome; pregnancy rate; radical trachelectomy; retrospective study; stenosis; term birth; treatment outcome; tumor volume; urinary tract infection; uterine cervix cancer; adenocarcinoma; cancer staging; conservative treatment; fertility preservation; pregnancy; squamous cell carcinoma; Taiwan; therapy; tumor recurrence; uterine cervix tumor; Adenocarcinoma; Adult; Carcinoma, Squamous Cell; Chemoradiotherapy; Female; Fertility Preservation; Follow-Up Studies; Humans; Neoplasm Recurrence, Local; Neoplasm Staging; Organ Sparing Treatments; Pregnancy; Pregnancy Rate; Retrospective Studies; Taiwan; Trachelectomy; Treatment Outcome; Uterine Cervical Neoplasms
|Appears in Collections:||醫學系|
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.