Abstract

MALCA T, Magaly; LOPEZ B, Aldo; ALVAREZ L, Manuel  and  SANTOS O, Carlos. Preservation of fertility in cancer of cervix?: it is possible. Rev Per Ginecol obstet. [online]. 2013, vol.59, n.1, pp.43-47. ISSN 2304-5132.

Cervical cancer is the most frequent cause of death by gynecologic cancer in the world. Due to increased diagnosis of early stage disease in childbearing age women new concepts in fertility preservation and minimally invasive surgical treatment are emphasized. Cervical cold conization with or without pelvic lymphadenectomy is appropriate treatment for stage IA1-2 cervical cancer in patients who desire fertility. However curative potential has not been extensively explored concerning to IB1 stage disease. In the past five years individualized treatment of these patients has been started at Instituto Nacional de Enfermedades Neoplasicas (INEN) due to increased demand of young patients who wish to preserve fertility, with informed consent of patients and good current results. Four cases of stages IA2 y IB1 cervical cancer with low-risk pathology factors with conservative surgery for fertility preservation are presented. Cervical cold conization and bilateral laparoscopic pelvic lymphadenectomy was performed. Results demonstrated that conservative surgery in low risk early stages cervical cancer is feasible in young women, with fertility preservation and same cure rates as radical surgery.

Keywords : Cancer of cervix; conservative surgery; cold cervical conization; pelvic lymphadenectomy; radical trachelectomy.

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