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Radical Trachelectomy Performed During Pregnancy: A Review of the Literature
Mihai Emil Căpîlna1, Belá Szabo, Janos Becsi
1*First Obstetrics and Gynaecology Clinic, University of Medicine and Pharmacy, Târgu-Mureş; †First Department of Oncologic Surgery, Gynecologic Oncology Unit, Regional Institute of Oncology, Iaşi; and ‡Department of General Surgery, "St. Constantin" Hospital, Braşov, Romania, EU.
Objective:
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.
Methods:
A literature review of articles on this subject was conducted through a Medline search for articles published in English or French.
Results:
At this moment, 21 cervical cancer patients, including ours (4 stage IA2, 16 IB1, and 1 IB2) who underwent radical trachelectomy during pregnancy have been reported. Of these, 10 were performed by vaginal route and 11 were abdominal radical trachelectomies.
Conclusions:
Radical trachelectomy could be offered as an option for pregnant patients with early invasive cervical cancer. It may help women avoid the triple losses of a desired pregnancy, fertility, and motherhood.
