Obstetric outcomes of radical trachelectomy for cervical cancer : a retrospective review

DOI Web Site
  • ONISHI Yumi
    Department of Obstetrics and Gynecology, Kitano Hospital, Tazuke Kofukai, Medical Research Institute
  • HIGUCHI Toshihiro
    Department of Obstetrics and Gynecology, Kitano Hospital, Tazuke Kofukai, Medical Research Institute
  • HATA Saori
    Department of Obstetrics and Gynecology, Kitano Hospital, Tazuke Kofukai, Medical Research Institute
  • KOZONO Yuki
    Department of Obstetrics and Gynecology, Kitano Hospital, Tazuke Kofukai, Medical Research Institute
  • OKUDA Akiko
    Department of Obstetrics and Gynecology, Kitano Hospital, Tazuke Kofukai, Medical Research Institute
  • YOSHIOKA Yumiko
    Department of Obstetrics and Gynecology, Kitano Hospital, Tazuke Kofukai, Medical Research Institute
  • TSUJI Natsuki
    Department of Gynecology, Kansai Electric Power Hospital
  • NAGANO Tadayoshi
    Department of Gynecology, Kansai Electric Power Hospital

Bibliographic Information

Other Title
  • 広汎子宮頸部摘出後妊娠症例の予後の検討
  • コウハン シキュウ ケイブ テキシュツ ゴ ニンシン ショウレイ ノ ヨゴ ノ ケントウ

Search this article

Abstract

<p>Radical trachelectomy (RT) has been developed as a fertility-preservation surgery for patients with early-stage cervical cancer; however, proper perinatal management of patients who subsequently become pregnant is not well established. In this retrospective study, we analyzed the records of 62 patients who underwent RT in our institution between 2005 and 2018. We analyzed 17 pregnancies in 15 patients, and the pregnancy rate of patients who attempted to conceive after RT was at most 62.5%. Among these 17 pregnancies, 12 were achieved with fertility treatment. There were16 live births (12 at 29-36 weeks of gestation, four at 37 weeks of gestation) and one miscarriage. All live deliveries were carried out via cesarean section. Among all pregnancies beyond 34 weeks of gestation, cervical cerclage was carried out with radical trachelectomy. In this limited study, we could not identify other prognostic factors that predict premature birth. Most neonates were appropriate for date, and any recurrence was observed among these 15 patients. RT is an important fertility-preservation surgery for patients with early-stage cervical cancer. However, reproductive assistance is necessary for many patients to be able to conceive. Factors that lead to premature birth among pregnancies after RT should be explored in future studies. [Adv Obstet Gynecol, 73 (3) : 197-206, 2021 (R3.8)]</p>

Journal

Keywords

Details 詳細情報について

Report a problem

Back to top