Laparoscopic-Assisted Vaginal Trachelectomy with Prophylactic Cerclage: A Safe Fertility-Sparing Treatment for Early Stage Cervical Cancer.
Fiche publication
Date publication
mars 2024
Journal
Annals of surgical oncology
Auteurs
Membres identifiés du Cancéropôle Est :
Pr AKLADIOS Chérif
Tous les auteurs :
Pavone M, Goglia M, Scambia G, Querleu D, Akladios C, Lecointre L
Lien Pubmed
Résumé
In recent years fertility-sparing treatments are increasingly developing in patients with early stage cervical cancer. Among these, trachelectomy represents a milestone with a wide range of surgical approaches, evidence of oncological safety, and positive obstetric outcomes. PATIENTS AND METHODS: A 26-year-old patient underwent conization for CIN3 with a subsequent diagnosis of squamous cervical cancer stage FIGO IB1. After a negative laparoscopic bilateral pelvic nodes sampling and the radiologic evidence [positron emission tomography-computed tomography (PET-CT) and magnetic resonance imaging (MRI)] of a disease limited to the cervix, the patient was a candidate for trachelectomy according to her fertility-sparing desire.
Mots clés
Cervical cancer, Conservative management, Fertility preservation
Référence
Ann Surg Oncol. 2024 03;31(3):1804-1805