Modified abdominal radical trachelectomy used to spare fertility during surgery for early-stage cervical cancer: a case report

Cervical cancer is the fourth most common malignant tumor in childbearing-age women. To date, cervical resection and fertility-sparing surgery are the trends in the era of minimally invasive management. However, a proper management remains crucial. Hereby, we endeavor to underscore an uncommon case...

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Bibliographic Details
Published in:Journal of medical case reports 2024-11, Vol.18 (1), p.586-7, Article 586
Main Authors: Vo, Thanh Nhan, Nguyen, Long, Nguyen, Phuc Nhon
Format: Article
Language:English
Subjects:
Adult
Cancer
Case Report
Cervical cancer
Diagnosis
Female
Fertility Preservation - methods
Fertility-sparing surgery
Humans
Laparotomy
Neoplasm Staging
Radical trachelectomy
Reproductive age
Trachelectomy - methods
Treatment Outcome
Uterine Cervical Neoplasms - pathology
Uterine Cervical Neoplasms - surgery
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Summary:Cervical cancer is the fourth most common malignant tumor in childbearing-age women. To date, cervical resection and fertility-sparing surgery are the trends in the era of minimally invasive management. However, a proper management remains crucial. Hereby, we endeavor to underscore an uncommon case of early-stage cervical cancer receiving a tailored surgical technique of abdominal radical trachelectomy at our tertiary referral center and review literature. A 33-year-old Vietnamese female patient (E1) was hospitalized for a diagnosis of cervical cancer classified as IB1 stage. The patient was treated with fertility-sparing modified abdominal radical trachelectomy surgery. The postoperative outcome was completely favorable. The patient was sent home after 5 days of hospitalization. In addition, she was monitored without complications. Fertility-preserving treatment could be effectively performed with a modified technique of abdominal radical trachelectomy among young women with early-stage cervical cancer. Interdisciplinary management is potentially necessary for favorable outcome. Further data are required for long-term outcomes of pregnancy, recurrent rate, and the risk of pelvic organ prolapse.
ISSN:1752-1947
1752-1947
DOI:10.1186/s13256-024-04937-x