Overview of fertility sparing treatments for cervical cancer

被引：6
作者：
Ind, Thomas [1 ,2 ]
机构：
[1] Royal Marsden Hosp, London SW3 6JA, England
[2] St Georges Univ London, Cranmer Terrace, London SW17 0RE, England
来源：
BEST PRACTICE & RESEARCH CLINICAL OBSTETRICS & GYNAECOLOGY | 2021年 / 75卷
关键词：
Cervical cancer; Cone biopsy; Trachelectomy; Complications; ABDOMINAL RADICAL TRACHELECTOMY; MICROINVASIVE ADENOCARCINOMA; CONSERVATIVE TREATMENT; UTERINE CERVIX; IN-SITU; SURGICAL-MANAGEMENT; FOLLOW-UP; CARCINOMA; SURGERY; OUTCOMES;
D O I：
10.1016/j.bpobgyn.2021.04.004
中图分类号：
R71 [妇产科学];
学科分类号：
100211 ;
摘要：
Until the late 1980s, the mainstay of treatment for cervical cancer has been either hysterectomy or radiotherapy. From the mid to late 1990s, surgical treatments have been focussed more on sparing fertility by preserving the corpus of the womb with trachelectomy or even conserving part of the cervical stroma with a cone biopsy. In carefully selected cases, less radical treatment that preserves the uterus has been considered safe. However, these approaches can be associated with specific operative and obstetric complications such as stitch ulceration, cervical stenosis, late miscarriage, and premature labour. Most guidelines agree that the management of such patients should be centralised in a unit with specialist gynaecological oncology, radiology, and histopathology services supported by specialist cancer nurses. (c) 2021 Published by Elsevier Ltd.
引用
收藏
页码：2 / 9
页数：8
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