Radical abdominal trachelectomy with pelvic lymphadenectomy: Report of 2 cases.

Choi, Ho Sun; Kim, Seok Mo; Shin, Kwang Sik; Kim, Hyoung Choon; Byun, Ji Soo; Nam, Jong Hee

Case Report

Korean Journal of Obstetrics & Gynecology 2000;43(5):905-909.
Published online January 1, 2001.

Radical abdominal trachelectomy with pelvic lymphadenectomy: Report of 2 cases.

Ho Sun Choi, Seok Mo Kim, Kwang Sik Shin, Hyoung Choon Kim, Ji Soo Byun, Jong Hee Nam

Abstract

Traditionally, radical hysterectomy is the main surgical method for the treatment of early cervical carcinoma and always results in the loss of fertility. But, large numbers of young women are recently being diagnosed with cervical carcinoma and fertility preservation has become a concern. So, there has been a move towards more conservative approaches for the treatment of cervical carcinoma in recent years. Radical trachelectomy, which allows preservation of uterus but removes the cervix, parametrium and upper one third of the vagina, is a conservative but locally radical procedure. We performed radical abdominal trachelectomy with pelvic lymphadenectomy for two cases of invasive cervical carcinomas, which may be the first report in korea. One patient was 37 years old single women who had stage Ib cervical cancer and was disease free for 17 months after treatment. The other patient was 19 years old student who was also single and had stage IIa cervical cancer and was disease free for 14 months after treatment. We report the first two cases and review the literature on radical trachelectomy.

Key Words: Cervical cancer, Radical trachelectomy, Fertility preservation