Advances in fertility-sparing surgery for cervical cancer

Expert Review of Anticancer Therapy
Lukas RobHelena Robova

Abstract

This article reviews the literature on fertility-sparing surgery in early cervical cancer. The article evaluates selection criteria, preoperative management and the most frequent surgical procedures used for preservation of fertility in cervical cancer. The article also analyzes oncological, fertility and pregnancy results. Oncological outcomes are not statistically different among single groups (vaginal radical trachelectomy, abdominal radical trachelectomy, simple trachelectomy or cone with or without neoadjuvant chemotherapy). Oncological results after fertility-sparing procedures in women with tumors smaller than 2 cm are comparable with women with the same risk factors after radical hysterectomy. Pregnancy following fertility-sparing surgery is associated with a variety of adverse pregnancy outcomes, especially second-trimester loss and preterm delivery. Less radical procedures (simple trachelectomy or cone with or without neoadjuvant chemotherapy) show statistically significant better pregnancy results. The pregnancy rate after abdominal radical trachelectomy was dramatically lower than in women treated with other types of fertility-sparing surgery. In the future, it will be necessary to optimize the technique and managem...Continue Reading

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Citations

Jul 24, 2013·Expert Review of Anticancer Therapy·Lukas RobSkapa Petr
Jan 14, 2016·Human Reproduction Update·Ignacio ZapardielJuan A Garcia-Velasco
May 23, 2015·Therapeutic Delivery·Christopher McConville
Mar 22, 2014·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Mignon Dingena Johanna Maria van GentCor Doede de Kroon
Dec 5, 2013·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Rhona LindsayNadeem Siddiqui
Oct 6, 2012·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Rhona LindsayDavid K Gaffney
Oct 30, 2018·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Ali AyhanAsuman Nihan Haberal
Nov 4, 2020·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Francesca MoroAntonia Carla Testa
Nov 18, 2020·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Gabriel J RendónRene Pareja

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