Radical trachelectomy for cervical cancer

A radical trachelectomy is surgery that removes the cervix and the pelvic lymph nodes. Cervical cerclage is done at the same time. The uterus is left so that later, pregnancy could occur. If pregnancy does occur, delivery would be done by cesarean (C-section).

Radical trachelectomy may be a treatment option for some young women with early stages (stage IA2 or IB1) of cervical cancer who hope to preserve their fertility. Women who have had this procedure have high rates of miscarriage and early delivery.1 Most doctors have limited experience with this procedure. It is not commonly used.

The risks of a radical trachelectomy include the progression of cervical cancer, infertility, and increased rates of miscarriage.

Citations

  1. Koliopoulos G, et al. (2004). Conservative surgical methods for FIGO stage IA2 squamous cervical carcinoma and their role in preserving women's fertility. Gynecologic Oncology, 93(2): 469–473.

Last Updated: September 5, 2008

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