Abstract

A 31-year-old woman, gravida 0, was found to have atypical glandular cells on her cytology cervical smear. A colposcopy-directed biopsy revealed adenocarcinoma. Without a definite endocervical mass extension on a magnetic resonance imaging, a single-port-access laparoscopic radical trachelectomy (SPA-RT) was performed. The final pathology was adenocarcinoma with a free section margin. She resumed her normal menstrual cycle a month after the operation and a few months later became naturally pregnant, delivering a viable infant at 34 weeks of gestation by cesarean section. At the time of this writing, 64 months after the SPA-RT, she is still free from recurrent disease.

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