Trachelectomy during pregnancy: What has experience taught us?

Srdjan Saso, Renata Sawyer, Nicole M. O'Neill, Menelaos Tzafetas, Ahmed Sayasneh, Ali Hassan Hamed, Freya Elliott, Meen Yau Thum, Sadaf Ghaem-Maghami, Men Jean Lee, J. Richard Smith, Giuseppe Del Priore

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

The treatment of early stage cervical malignancy in a pregnant patient remains a challenge. We report the successful application of a vaginal radical trachelectomy (VRT) during pregnancy to treat a patient diagnosed with early stage cervical cancer and subsequently review the published work. A 22-year-old female diagnosed at the gestational age of 17 weeks with International Federation of Gynecology and Obstetrics stage IB1 squamous cell cervical carcinoma was treated with VRT at 19(+5) weeks. At 36 weeks, the patient underwent a scheduled cesarean section. A healthy male infant was delivered with a weight of 2795g. After 13months of follow-up, the patient is doing well with no evidence of recurrent disease.

Original languageEnglish (US)
Pages (from-to)640-645
Number of pages6
JournalJournal of Obstetrics and Gynaecology Research
Volume41
Issue number4
DOIs
StatePublished - Apr 1 2015

Keywords

  • cervical cancer
  • fertility
  • pregnancy
  • trachelectomy

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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  • Cite this

    Saso, S., Sawyer, R., O'Neill, N. M., Tzafetas, M., Sayasneh, A., Hassan Hamed, A., Elliott, F., Thum, M. Y., Ghaem-Maghami, S., Lee, M. J., Smith, J. R., & Del Priore, G. (2015). Trachelectomy during pregnancy: What has experience taught us? Journal of Obstetrics and Gynaecology Research, 41(4), 640-645. https://doi.org/10.1111/jog.12594