P Mathevet1, E Laszlo de Kaszon, D Dargent. 1. Service de gynécologie, hôpital Edouard-Herriot, 5, place d'Arsonval, 69437 Lyon cedex 03, France. patrice.mathevet@chu-lyon.fr
Abstract
OBJECTIVE: Evaluation of surgical techniques leading to fertility preservation in patients with early cervical cancer. PATIENTS AND METHODS: Carcinological and obstetrical follow-up of 95 patients treated with radical trachelectomy between 1987 and 2002 for a cervical cancer stage less than Ib2. RESULTS: Four recurrences were observed; all of these were in case of tumor more than 2 cm in diameter (P = 0.002), and three of the four recurrences were in case of lymph-vascular space involvement (P = 0.07). Among the 42 patients willing and able to procreate, 33 were pregnant. Fifty-six pregnancies were registered. The rate of late miscarriage was 19% and 34 living newborns were obtained. CONCLUSION: In case of early cervical cancer, radical trachelectomy preserves fertility, leading to a good rate of living newborns without impairing the chances of survival.
OBJECTIVE: Evaluation of surgical techniques leading to fertility preservation in patients with early cervical cancer. PATIENTS AND METHODS: Carcinological and obstetrical follow-up of 95 patients treated with radical trachelectomy between 1987 and 2002 for a cervical cancer stage less than Ib2. RESULTS: Four recurrences were observed; all of these were in case of tumor more than 2 cm in diameter (P = 0.002), and three of the four recurrences were in case of lymph-vascular space involvement (P = 0.07). Among the 42 patients willing and able to procreate, 33 were pregnant. Fifty-six pregnancies were registered. The rate of late miscarriage was 19% and 34 living newborns were obtained. CONCLUSION: In case of early cervical cancer, radical trachelectomy preserves fertility, leading to a good rate of living newborns without impairing the chances of survival.
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