| Title |
Laparoscopic radical trachelectomy after neoadjuvant chemotherapy for fertility preservation in early-stage bulky cervical cancer: a case report and literature review / |
| Authors |
Vasilevska, Danuta ; Semczuk, Andrzej ; Vasilevska, Dominika ; Širvys, Artiomas ; Rudaitis, Vilius |
| DOI |
10.3390/medicina58121827 |
| Full Text |
|
| Is Part of |
Medicina.. Basel : MDPI. 2022, vol. 58, iss. 12, art. no. 1827, p. [1-7].. ISSN 1010-660X. eISSN 1648-9144 |
| Keywords [eng] |
bulky early-stage cervical cancer ; fertility-sparing treatment ; laparoscopic radical trachelectomy ; neoadjuvant chemotherapy |
| Abstract [eng] |
Management of early-stage cervical cancer (CC) in young women often faces challenges to preserve fertility, as well as to achieve an adequate oncological outcome. Although existing evidence supports a fertility-sparing treatment in the case of tumors <2 cm in diameter, the approach is less clear in bulky early-stage CC. In addition, the outcomes of radical trachelectomy performed by minimally invasive techniques are also highly debatable. Highlighting the high incidences of young women with early-stage CC, the lack of sufficient data raises considerable hindrances towards the proper counseling of this vulnerable patient group. In this report, a case of a young woman with bulky early-stage CC with a strong desire to preserve fertility is presented. A satisfactory oncological outcome was achieved after neoadjuvant chemotherapy followed by laparoscopic radical trachelectomy. Ongoing prospective trials are expected to provide stronger evidence on this topic. |
| Published |
Basel : MDPI |
| Type |
Journal article |
| Language |
English |
| Publication date |
2022 |
| CC license |
|
