Open AccessRadical treachelectomy in treatment of early stages of cervical cancer
Author(s) -
K. Jeremić,
S Petković,
Aleksandar Stefanović,
M Gojnić,
Marko Maksimović,
Jelena Stojnić,
Ivana Likic,
Saša Kadija,
Jasmina Atanacković
Publication year - 2008
Publication title -
acta chirurgica iugoslavica
Language(s) - English
Resource type - Journals
eISSN - 2406-0887
pISSN - 0354-950X
DOI - 10.2298/aci0804093j
Subject(s) - trachelectomy , medicine , cervical cancer , stage (stratigraphy) , radical hysterectomy , radical surgery , cervical carcinoma , surgery , carcinoma , biopsy , radiology , cancer , paleontology , biology
The aim of the study was to determine if radical trachelectomy with pelvic lymphonodectomy could be a method for treatment of early cervical cancer to preserve fertility. We examined 12 patients who were operatively treated from 1996. to 2006. year. Diagnostic method for cervical cancer was histologic examination, cone or biopsy. Histologic condition was planocelular carcinoma well differented. Two of the patients had Ia1 stage, seven had Ia2, and three of them had Ib1. We performed abdominal radical trachelectomy with pelvic lymphonodectomy. Resectional edges were patohistologically analyzed ex tempore, as well as lymphonodi, selectively. According to ex tempore analysis we determined if the radical trachelectomy should be done. In one patient resectional edges were positive, so she underwent radical hysterectomy. Postoperatively we found a positive lymphonodus in one patient, so we continued radiation therapy. In two-year follow-up period we did not find any sign of residual cancer. We concluded that radical trachelectomy with pelvic lymphonodectomy could be appropriate method for treatment of early stage cervical cancer.