Treatment of pregnancy complication due to malignancy of the cervix constitutes a great clinical challenge between optimal maternal therapy and fetal viability. Radical trachelectomy in early-stage cervical cancer during pregnancy instead of radical hysterectomy presents an alternative approach that can offer a satisfactory outcome for the mother and fetus.
A literature search of articles in English has been performed. Until now, 28 women with cervical cancer, including 2 who were managed and treated in our institute, who underwent a radical trachelectomy during pregnancy have been reported. We overviewed a total of 13 abdominal trachelectomies, 13 vaginal trachelectomies, and 2 laparoscopic trachelectomies.
Radical trachelectomy can widen the therapeutic approach of early-stage cervical cancer in pregnant women who wish to preserve their pregnancy, providing a possibility of receiving the proper treatment with no delay.
*1st Obstetric and Gynaecological Department of “Alexandra” Hospital of National and Kapodistrian University of Athens;
Departments of †Histopathology and
‡Anesthesiology, “Alexandra” General Hospital; and
§Department of Radiology “Aretaieion” Hospital of National and Kapodistrian University of Athens, Athens, Greece.
Address correspondence and reprint requests to Konstantinos Kypriotis, MD, 1st Obstetric and Gynaecological Department “Alexandra” Hospital of National and Kapodistrian University of Athens, Konstantinoupoleos 36, Nea Penteli, Athens, Greece 15236. E-mail: firstname.lastname@example.org.
Received January 23, 2018
Accepted July 30, 2018