Abstract
In the past few decades fertility preservation has emerged as a treatment modality for cervical cancer patients. Different surgical methods have been described, such as open or minimally invasive trachelectomy and gross cervical conisation combined with laparoscopic lymphadenectomy. A thirty-year-old nulliparous woman with uterine cervical cancer FIGO stage IB2 (classification from 2009) underwent neoadjuvant chemotherapy. After three cycles of chemotherapy with cisplatin and iphosphamide there was no colposcopic findings of cervical invasion, therefore a conservative surgery was performed. The patient underwent laparoscopic pelvic lymphadenectomy, cervical amputation and the endocervical curettage. The histopathology confirmed a complete response to chemotherapy.
Publisher
Centre for Evaluation in Education and Science (CEON/CEES)
Subject
General Economics, Econometrics and Finance,General Engineering
Reference26 articles.
1. Covens A, Rosen B, Murphy J, Laframboise S, DePetrillo AD, Lickrish G, et al. Changes in the demographics and perioperative care of stage IA(2)/ IB(1) cervical cancer over the past 16 years. Gynecol Oncol 2001;81(2):133-7.;
2. Schneider A, Erdemoglu E, Chiantera V, Reed N, Morice P, Rodolakis A, et al. Clinical recommendation radical trachelectomy for fertility preservation in patients with early-stage cervical cancer. Int J Gynecol Cancer 2012;22:659 -66.;
3. Rob L, Pluta M, Strnad P, Hrehorcak M, Chmel R, Skapa P, et al. A less radical treatment option to the fertility-sparing radical trachelectomy in patients with stage I cervical cancer. Gynecol Oncol 2008;111:116 -20.;
4. Mandic A, Novakovic P, Nincic D. Surgical approaches towards fertility preservation in young patients with early invasive cervical carcinoma. J BUON; 2009;14:581-6.;
5. Novak F. Radical abdominal subcorporeal extirpation of the cervix with bilateral pelvic lymph nodes dissection in cancer in situ of the cervix uteri. Acta Med Iugosl 1952;6:59-71.;