https://scholars.lib.ntu.edu.tw/handle/123456789/452481
標題: | Radical trachelectomy for early stage cervical cancer: A case series and literature review | 作者: | CHIN-JUI WU WEN-CHUN CHANG CHI-HAU CHEN CHI-AN CHEN Huang S.-C. BOR-CHING SHEU |
公開日期: | 2017 | 卷: | 56 | 期: | 2 | 起(迄)頁: | 143-146 | 來源出版物: | Taiwanese Journal of Obstetrics and Gynecology | 摘要: | 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 |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85015284963&doi=10.1016%2fj.tjog.2016.05.014&partnerID=40&md5=1a705acdbf345f8cb8743ce6aa6ff1e9 https://scholars.lib.ntu.edu.tw/handle/123456789/452481 |
DOI: | 10.1016/j.tjog.2016.05.014 | SDG/關鍵字: | 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 |
顯示於: | 醫學系 |
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