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Abdominal radical trachelectomy (ART) performed during pregnancy: a case report

  • M.E. Căpîlna1,*,
  • B. Szabo1
  • S.C. Rusu1
  • J. Becsi1
  • F.C. Szasz1
  • M. Morariu2
  • B. Moldovan3
  • I.M. Paşcanu4

1First Obstetrics and Gynaecology Clinic, University of Medicine and Pharmacy, Târgu-Mures, Romania

2First Anaesthesiology and Intensive Care Clinic, University of Medicine and Pharmacy, Târgu-Mures, Romania

3Department of General Surgery, “St. Constantin” Hospital, Brasov

4Endocrinology Clinic, University of Medicine and Pharmacy, Târgu-Mures, Romania

DOI: 10.12892/ejgo3355.2017 Vol.38,Issue 1,February 2017 pp.129-131

Published: 10 February 2017

*Corresponding Author(s): M.E. Căpîlna E-mail: mcapilna@gmail.com

Abstract

Purpose of investigation: Cervical cancer is one of the most frequent malignant diseases diagnosed during pregnancy. Abdominal or vaginal radical trachelectomies are fertility-preserving alternatives to radical hysterectomy for young women with early-stage cervical cancer that can be performed during ongoing pregnancy. Material and Methods: The authors report a pregnancy complicated by cervical cancer treated by abdominal radical trachelectomy (ART) at 16-17 gestational weeks with preservation of the concurrent pregnancy. Results: The pregnancy evolved normally and delivery occurred at 38-39 gestational weeks by elective caesarean section. Conclusions: Radical trachelectomy could be offered as an option for pregnant patients with early invasive cervical cancer. It may help women to avoid the triple losses of a desired pregnancy, fertility, and motherhood.

Keywords

Cervical cancer; Pregnancy; Trachelectomy.

Cite and Share

M.E. Căpîlna,B. Szabo,S.C. Rusu,J. Becsi,F.C. Szasz,M. Morariu,B. Moldovan,I.M. Paşcanu. Abdominal radical trachelectomy (ART) performed during pregnancy: a case report. European Journal of Gynaecological Oncology. 2017. 38(1);129-131.

References

[1] Chiricută I.: “Colpohisterectomia lărgită subfundică”. In: Sîrbu P., Chiricută I., Pandele A., Setlacec D., (eds). Chirurgia ginecologică. Bucharest: Ed. Medicală, 1981, 714.

[2] Smith J.R., Boyle D.C.M., Corless D.J., Ungar L., Lawson A.D., Del Priore G., et al.: “Abdominal radical trachelectomy: a new surgical technique for the conservative management of cervical carcinoma”. BJOG, 1997, 104, 1196.

[3] Dargent D., Brun J.L., Roy M.: “La trachelectomie elargie (TE) une alternative a l’hysterectomie radicale dans le traitement des cancers infiltrants developes sur la face externe du col uterin”. J. Obstet. Gynecol., 1994, 2, 285. [Article in French].

[4] van de Nieuwenhof H.P., van Ham M.A., Lotgering F.K., Massuger L.F.: “First case of vaginal radical trachelectomy in a pregnant patient”. Int. J. Gynecol. Cancer, 2008, 18, 1381.

[5] Alouini S., Rida K., Mathevet P.: “Cervical cancer complicating pregnancy: implications of laparoscopic lymphadenectomy”. Gynecol. Oncol., 2008, 108, 472.

[6] Sioutas A., Schedvins K., Larson B., Gemzell-Danielsson K.: “Three cases of vaginal radical trachelectomy during pregnancy”. Gynecol. Oncol., 2011, 121, 420.

[7] Iwami N., Ishioka S., Endo T., Baba T., Nagasawa K., Takahashi M., et al.: “First case of vaginal radical trachelectomy in a pregnant Japanese woman”. Int. J. Clin. Oncol., 2011, 16, 737.

[8] Ferraioli D., Buenerd A., Marchiolè P., Constantini S., Venturini P.L., Mathevet P.: “Early invasive cervical cancer during pregnancy: different therapeutic options to preserve fertility”. Int. J. Gynecol. Cancer, 2012, 22, 842.

[9] Ungár L., Smith J.R., Pálfalvi L., del Priore G.: “Abdominal radical trachelectomy during pregnancy to preserve pregnancy and fertility”. Obstet. Gynecol., 2006, 108, 811.

[10] Abu-Rustum N.R., Tal M.N., DeLair D., Shih K., Sonoda Y.: “Radical abdominal trachelectomy for stage IB1 cervical cancer at 15- week gestation”. Gynecol. Oncol., 2010, 116, 151.

[11] Mandic A., Novakovic P., Nincic D., Zivaljevic M., Rajovic J.: “Radical abdominal trachelectomy in the 19th gestation week in patients with early invasive cervical carcinoma: case study and overview of literature”. Am. J. Obstet. Gynecol., 2009, 201, e6.

[12] Karateke A., Cam C., Celik C., Baykal B., Tug N., Ozbasli E., Tosun O.A.: “Radical trachelectomy in late pregnancy: is it an option?” Eur. J. Obstet. Gynecol. Reprod. Biol., 2010, 152, 112.

[13] Enomoto T., Yoshino K., Fujita M., Miyoshi Y., Ueda Y., Koyama S., et al.: “A successful case of abdominal radical trachelectomy for cervical cancer during pregnancy”. Eur. J. Obstet. Gynecol. Reprod. Biol., 2011, 158, 365.

[14] Aoki Y., Inamine M., Ohishi S., Nagai Y., Masamoto H.: “Radical abdominal trachelectomy for IB1 cervical cancer at 17 weeks of gestation: a case report and literature review”. Case Rep. Obstet. Gynecol., 2014, 2014, 926502.

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