Outcome and Subsequent Pregnancy after Fertility-Sparing Surgery of Early-Stage Cervical Cancers

We aimed to investigate the outcomes and subsequent pregnancies of early-stage cervical cancer patients who received conservative fertility-sparing surgery. Women with early-stage cervical cancer who underwent conservative or fertility-sparing surgery in a tertiary medical center were reviewed from...

Full description

Saved in:
Bibliographic Details
Published in:International journal of environmental research and public health 2020-09, Vol.17 (19), p.7103
Main Authors: Lee, Chia-Yi, Chen, Yu-Li, Chiang, Ying-Cheng, Cheng, Ching-Yu, Lai, Yen-Ling, Tai, Yi-Jou, Hsu, Heng-Cheng, Hwa, Hsiao-Lin, Cheng, Wen-Fang
Format: Article
Language:English
Subjects:
Adolescent
Age
Births
Cancer therapies
Cervical cancer
Cervix
Cesarean Section
Female
Fertility
Health care facilities
Humans
Hysterectomy
Infant, Newborn
Laparoscopy
Lymphatic system
Magnetic resonance imaging
Medical records
Miscarriage
Neoplasm Staging
Pathology
Patients
Pregnancy
Pregnancy Outcome
Surgery
Trachelectomy
Treatment Outcome
Uterine Cervical Neoplasms - pathology
Uterine Cervical Neoplasms - surgery
Vagina
Womens health
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:We aimed to investigate the outcomes and subsequent pregnancies of early-stage cervical cancer patients who received conservative fertility-sparing surgery. Women with early-stage cervical cancer who underwent conservative or fertility-sparing surgery in a tertiary medical center were reviewed from 2004 to 2017. Each patient's clinicopathologic characteristics, adjuvant therapy, subsequent pregnancy, and outcome were recorded. There were 32 women recruited, including 12 stage IA1 patients and 20 stage IB1 patients. Twenty-two patients received conization/LEEP and the other 10 patients received radical trachelectomy. Two patients did not complete the definite treatment after fertility-sparing surgery. There were 11 women who had subsequent pregnancies and nine had at least one live birth. The live birth rate was 73.3% (11/15). We conclude that patients with early-stage cervical cancer who undergo fertility-sparing surgery can have a successful pregnancy and delivery. However, patients must receive a detailed consultation before surgery and undergo definitive treatment, if indicated, and regular postoperative surveillance.
ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph17197103