Fertility-sparing surgery for early-stage cervical cancer.

Autor: Ribeiro Cubal AF; Obstetrics and Gynecology Service, Gynecology Department, Centro Hospitalar Tâmega e Sousa, E.P.E., 4564-007 Penafiel, Portugal., Ferreira Carvalho JI, Costa MF, Branco AP
Jazyk: angličtina
Zdroj: International journal of surgical oncology [Int J Surg Oncol] 2012; Vol. 2012, pp. 936534. Date of Electronic Publication: 2012 Jul 08.
DOI: 10.1155/2012/936534
Abstrakt: Nowadays cervical cancer is diagnosed in many women who still want to have children. This led to the need to provide fertility-sparing treatments. The main goal is to maintain reproductive ability without decreasing overall and recurrence-free survival. In this article, we review data on procedures for fertility preservation, namely, vaginal and abdominal trachelectomy, less invasive surgery and neoadjuvant chemotherapy. For each one, oncological and obstetrical outcomes are analyzed. Comparing to traditionally offered radical hysterectomy, the overall oncologic safety is good, with promising obstetrical outcomes.
Databáze: MEDLINE