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Updated: May 4, 2026
Modified Radical Neck Dissection for Cervical Metastasis
Published on: February 20, 2026
Less radical surgery for patient with early-stage cervical cancer
Zohreh Yousefi1, Zahra Kazemianfar1, Sima Kadghodayan1
1Department of Obstetrics and Gynecology, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, IR Iran.
Introduction:
Surgery in cervical cancer should be used with intention of cure. Radical abdominal trachelectomy is a feasible operation for selected patients with stage Iα-1β cervical cancer which fertility can be preserved.
Case Report:
A 30-years-old woman with squamous cell cervical cancer stage (1 A II) diagnosed at September 2011 expressed a wish for fertility-sparing treatment. Radical abdominal hysterectomy and pelvic and para-aortic lymphadenectomy were performed which showed no evidence of lymphatic metastasis. Subsequently, at last follow-up (5 months post-surgery), good oncologic outcomes were found after this procedure. This was the first case of fertility-sparing radical trachelectomy procedures performed at our institution.
Conclusions:
Trachelectomy represents a valuable conservative surgical approach for early stage invasive cervical cancer.
