Single-Port-Access Laparoscopic Radical Trachelectomy in Early Stage Cervical Cancer with Successful Pregnancy Outcome: A Case Report

Athithan Rattanaburi, Yuyeon Jung, Jung Hwan Ahn, Keun Ho Lee, Ji Geun Yoo

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.

 Keywords

case report; outcome; radical trachelectomy; single-port surgery

 Full Text:

PDF

References

Vieira MA, Rendon GJ, Munsell M, Echeverri L, Frumovitz M, Schmeler KM, et al. Radical trachelectomy in earlystage cervical cancer: a comparison of laparotomy and minimally invasive surgery. Gynecol Oncol 2015;138:585–89.

Jung YW, Lee M, Yim GW, Lee SH, Paek JH, Kwon HY, et al. A randomized prospective study of single-port and four-port approaches for hysterectomy in terms of postoperative pain. Surg Endosc 2011;25:2462–9.

Yim GW, Jung YW, Paek J, Lee SH, Kwon HY, Nam EJ, et al. Transumbilical single-port access versus conventional total laparoscopic hysterectomy: surgical outcomes. Am J Obstet Gynecol 2010;203:26.e1–6.

Yamazaki H, Todo Y, Okamoto K, Yamashiro K, Kato H. Pretreatment risk factors for parametrial involvement in FIGO stage IB1 cervical cancer. J Gynecol Oncol 2015;26: 255–61.

Takeshima N, Hirai Y, Katase K, Yano K, Yamauchi K, Hasumi K. The value of squamous cell carcinoma antigen as a predictor of nodal metastasis in cervical cancer. Gynecol Oncol 1998;68:263–6.

Rose PG, Baker S, Fournier L, Nelson BE, Hunter RE. Serum squamous cell carcinoma antigen levels in invasive cervical cancer: prediction of response and recurrence. Am J Obstet Gynecol 1993;168:942–6.

Porika M, Vemunoori AK, Tippani R, Mohammad A, Bollam SR, Abbagani S. Squamous cell carcinoma antigen and cancer antigen 125 in Southern Indian cervical cancer patients. Asian Pacific J Cancer Prev 2010;11:1745–7.

Park JY, Joo WD, Chang SJ, Kim DY, Kim JH, Kim YM, et al. Long-term outcomes after fertility sparing laparoscopic radical trachelectomy in young women with early-stage cervical cancer: an Asan Gynecologic Cancer Group (AGCG) study. J Surg Oncol 2014;110:252–7.

Bentivegna E, Gouy S, Maulard A, Chargari C, Leary A, Morice P. Oncological outcomes after fertility-sparing surgery or cervical cancer: a systematic review. Lancet Oncol 2016;17:e240–53.

Ebisawa K, Takano M, Fukuda M, Fujiwara K, Hada T, Ota Y, et al. Obstetric outcomes of patients undergoing total laparoscopic radical trachelectomy for early stage cervical cancer. Gynecol Oncol 2013;131:83–6.

Ramirez PT, Frumovitz M, Pareja R, Lopez A, Vieira M, Ribeiro R, et al. Minimally invasive versus abdominal radical hysterectomy for cervical cancer. N Engl J Med 2018;379: 1895–904.

DOI: http://dx.doi.org/10.31584/jhsmr.2020754

Refbacks

  • There are currently no refbacks.
Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.