Successful delivery after vaginal radical trachelectomy for invasive uterine cervical cancer

被引：16

作者：

Ishioka S.-I. ^{[1
]}

Endo T. ^{[1
]}

Hayashi T. ^{[1
]}

Kitajima Y. ^{[1
]}

Sugimura M. ^{[1
]}

Sagae S. ^{[1
]}

Saito T. ^{[1
]}

机构：

[1] Department of Obstetrics and Gynecology, Sapporo Medical University, School of Medicine, Chuou-ku, Sapporo, Hokkaido 060-8543, Minami 1-jo

来源：

International Journal of Clinical Oncology | 2006年 / 11卷 / 2期

关键词：

Cesarean section; Fertility; Radical trachelectomy; Uterine cervical cancer;

D O I：

10.1007/s10147-005-0536-3

中图分类号：

学科分类号：

摘要：

A 32-year-old Japanese woman was diagnosed as having stage Ib1 adenocarcinoma by diagnostic laser conization at a local hospital. She was admitted to our hospital for fertility-sparing treatment. A radical trachelectomy (RT) was performed using the laparoscopic vaginal procedure. The procedure was started with a laparoscopic pelvic lymphadenectomy. As the lymph nodes were tumor free, RT was carried out transvaginally. The excised uterine cervix and lymph nodes were pathologically negative for cancer. Eight months after the operation, the patient became pregnant without any artificial reproduction techniques. At 17 weeks of gestation, she was admitted to our hospital again for a threatened abortion. Continuous tocolytic treatment with ritodrine and daily administration of a granulocyte elastase inhibitor vaginal suppository were given. At 32 weeks of gestation, she underwent emergency cesarean section because of sudden premature rupture of the membranes. A girl weighing 1991 g was delivered, with Apgar scores of 7 and 8 at 1 and 5 min, respectively. Both the mother and the baby were discharged without trouble. This is the first successful case in Japan of delivery after vaginal RT for invasive uterine cervical cancer. © The Japan Society of Clinical Oncology 2006.

引用

页码：146 / 149

页数：3

共 8 条

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