An update of oncologic and obstetric outcomes of radical trachelectomy for early-stage cervical cancer: The need for further minimally invasive treatment

Satoshi Tamauchi, Shohei Iyoshi, Masato Yoshihara, Kosuke Yoshida, Yoshiki Ikeda, Yusuke Shimizu, Akira Yokoi, Kaoru Niimi, Nobuhisa Yoshikawa, Hiroaki Kajiyama

研究成果: ジャーナルへの寄稿学術論文査読

2 被引用数 (Scopus)

抄録

Aims: To investigate the oncologic and obstetric outcomes of radical trachelectomy (RT) in patients with early-stage cervical cancer and to evaluate the potential role of fertility-preserving treatments in improving pregnancy outcomes while oncologic status is stable. Methods: In this single-institution study, we analyzed the oncologic and obstetric outcomes of 67 patients with early-stage cervical cancer who underwent RT at Nagoya University Hospital. Results: The cancer recurrence rate (6.0%) and the mortality rate (1.5%) were comparable with those of previous studies. Of the 46 patients who attempted to conceive after RT, 19 (41.3%) became pregnant, and 16 gave birth. Of these 37.5% delivered at term, and delivery at less than 28 weeks of gestation occurred in 31.3% of pregnancies. Conclusions: RT is a viable treatment option for selected patients with early-stage cervical cancer. However, the use of less invasive techniques, such as conization/simple trachelectomy and pelvic lymph node dissection, may improve pregnancy outcomes while oncologic status is stable.

本文言語英語
ページ(範囲)175-181
ページ数7
ジャーナルJournal of Obstetrics and Gynaecology Research
50
2
DOI
出版ステータス出版済み - 02-2024
外部発表はい

All Science Journal Classification (ASJC) codes

  • 産婦人科学

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