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

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.

Cervical cancer; Pregnancy; Trachelectomy.

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