Radical vaginal trachelectomy after supracervical hysterectomy.

Abstract:

BACKGROUND:Radical vaginal trachelectomy (RVT) is an acceptable approach when applied toward a select group of patients with early stage cervical carcinoma. It is less invasive, can maintain fertility, and can be ideal in patients with significant comorbid factors compared to abdominal approaches. A small subset of patients with a previous supracervical hysterectomy can pose a surgical dilemma. CASE:An 81-year-old woman with a history of severe cardiac disease on routine gynecological examination was found to have adenocarcinoma in situ with a focus suspicious for invasion of the cervical stump diagnosed by cone biopsy. She previously had a supracervical hysterectomy for benign disease of the uterus. A RVT was performed as definitive treatment and the patient recovered without complications. CONCLUSION:In the rare case that presents with a history of supracervical hysterectomy, RVT with some technical modifications can still be considered as a therapeutic option for early stage cervical carcinoma.

journal_name

Gynecol Oncol

journal_title

Gynecologic oncology

authors

Mendez LE,Penalver M,McCreath W,Bejarano P,Angioli R

doi

10.1006/gyno.2002.6660

subject

Has Abstract

pub_date

2002-06-01 00:00:00

pages

545-7

issue

3

eissn

0090-8258

issn

1095-6859

pii

S0090825802966606

journal_volume

85

pub_type

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