Abstract
We aimed to investigate the outcomes and subsequent pregnancies of early-stage cervical cancer patients who received conservative fertility-sparing surgery. Women with early-stage cervical cancer who underwent conservative or fertility-sparing surgery in a tertiary medical center were reviewed from 2004 to 2017. Each patient’s clinicopathologic characteristics, adjuvant therapy, subsequent pregnancy, and outcome were recorded. There were 32 women recruited, including 12 stage IA1 patients and 20 stage IB1 patients. Twenty-two patients received conization/LEEP and the other 10 patients received radical trachelectomy. Two patients did not complete the definite treatment after fertility-sparing surgery. There were 11 women who had subsequent pregnancies and nine had at least one live birth. The live birth rate was 73.3% (11/15). We conclude that patients with early-stage cervical cancer who undergo fertility-sparing surgery can have a successful pregnancy and delivery. However, patients must receive a detailed consultation before surgery and undergo definitive treatment, if indicated, and regular postoperative surveillance.
Highlights
Invasive cervical cancer (ICC) affects women of all ages
We retrospectively reviewed the medical records of patients diagnosed with ICC in one tertiary medical center from January 2004 to December 2017
LEEP/conization is feasible in stage IA1 ICC patients to preserve patients’ fertility
Summary
Invasive cervical cancer (ICC) affects women of all ages. In 2016, 12,990 new cases of ICC were reported in the United States, and approximately 26.1% of them were in women younger than 40 years old [1]. In Taiwan, 1273 patients were diagnosed with ICC in 2015, and 422 of them (33.2%) were younger than 40 years old [2]. These patients were still of reproductive age, and some had not yet completed their family planning when diagnosed [3]. The development of treatment that preserves fertility, especially without compromising oncologic outcomes, is an important issue for these ICC patients
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