alexa Less Radical Surgery for Fertility Preservation in Patients with Early-Stage Invasive Cervical Cancer Contemporary Problematics | OMICS International | Abstract
ISSN: 2161-0932

Gynecology & Obstetrics
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Review Article

Less Radical Surgery for Fertility Preservation in Patients with Early-Stage Invasive Cervical Cancer Contemporary Problematics

Nikolaos Thomakos1*, Sofia-Paraskevi Trachana1,2, Alexandros Rodolakis1, Aristotelis Bamias2 and Aris Antsaklis1

1First Department of Obstetrics and Gynecology, National and Kapodistrian University of Athens, Alexandra General Hospital, Athens, Greece

2Department of Therapeutics, National and Kapodistrian University of Athens, Alexandra General Hospital, Athens, Greece

*Corresponding Author:
Dr. Nikolaos Thomakos
Consultant of Obstetrics and Gynecology
Alexandra General Hospital
First Department of Obstetrics and Gynecology
80 Vas. Sofias Av. 11528, Athens, Greece
Tel: +306944861101
E-mail: [email protected]

Received Date: August 19, 2013; Accepted Date: August 24, 2013; Published Date: August 31, 2013

Citation: Thomakos N, Trachana SP, Rodolakis A, Bamias A, Antsaklis A (2013) Less Radical Surgery for Fertility Preservation in Patients with Early-Stage Invasive Cervical Cancer Contemporary Problematics. Gynecol Obstet 3:165. doi: 10.4172/2161-0932.1000165

Copyright: © 2013 Thomakos N, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Cervical cancer, is a middle age women’s disease. Nowadays, because of the postponement of childbearing at older age, women younger than 45 years old who are diagnosed with cervical cancer, have a strong desire for preserving fertility. For this reason, Radical Trachelectomy (Vaginal and Abdominal) is used worldwide.

In this article, we review data on procedures for fertility preservation, namely Radical Trachelectomy, less invasive procedures and Neoadjuvant Chemotherapy, based on the literature over the past 12 years. Oncological and Obstetrical outcomes are analyzed.

In conclusion, Radical Trachelectomy, is an oncologically safe procedure for women with early invasive cervical cancer. However, a number of considerations regarding the selection criteria, patient’s information and especially the complications and the postoperative quality of life, should be taken into account.

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