Korean J Obstet Gynecol.
2000 May;43(5):905-909.
Radical abdominal trachelectomy with pelvic lymphadenectomy: Report of 2 cases
Abstract
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Traditionally, radical hysterectomy is the main surgical method for the treatment of early cervical carcinoma and always
results
in the loss of fertility. But, large numbers of young women are recently being diagnosed with cervical carcinoma
and fertility preservation has become a concern. So, there has been a move towards more conservative approaches for
the treatment of cervical carcinoma in recent years. Radical trachelectomy, which allows preservation of uterus but removes
the cervix, parametrium and upper one third of the vagina, is a conservative but locally radical procedure. We performed
radical abdominal trachelectomy with pelvic lymphadenectomy for two cases of invasive cervical carcinomas, which may
be the first report in korea. One patient was 37 years old single women who had stage Ib cervical cancer and was disease
free for 17 months after treatment. The other patient was 19 years old student who was also single and had stage IIa cervical
cancer and was disease free for 14 months after treatment. We report the first two cases and review the literature on radical trachelectomy.