Yousefi Zohreh, Kazemianfar Zahra, Kadghodayan Sima, Hasanzade Malieheh, Kalantari Mahmoudreza, Mottaghi Mansoureh
Department of Obstetrics and Gynecology, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, IR Iran.
Department of Pathology, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, IR Iran.
Iran Red Crescent Med J. 2013 Jul;15(7):617-9. doi: 10.5812/ircmj.5057. Epub 2013 Jul 5.
Surgery in cervical cancer should be used with intention of cure. Radical abdominal trachelectomy is a feasible operation for selected patients with stage Iα-1β cervical cancer which fertility can be preserved.
A 30-years-old woman with squamous cell cervical cancer stage (1 A II) diagnosed at September 2011 expressed a wish for fertility-sparing treatment. Radical abdominal hysterectomy and pelvic and para-aortic lymphadenectomy were performed which showed no evidence of lymphatic metastasis. Subsequently, at last follow-up (5 months post-surgery), good oncologic outcomes were found after this procedure. This was the first case of fertility-sparing radical trachelectomy procedures performed at our institution.
Trachelectomy represents a valuable conservative surgical approach for early stage invasive cervical cancer.
宫颈癌手术应以治愈为目的。根治性经腹宫颈切除术对于部分Ⅰα-1β期宫颈癌患者是一种可行的手术，可保留生育功能。
一名30岁女性，2011年9月被诊断为鳞状细胞宫颈癌（ⅠA2期），希望接受保留生育功能的治疗。实施了根治性经腹子宫切除术及盆腔和腹主动脉旁淋巴结清扫术，未发现有淋巴结转移的证据。随后，在最后一次随访（术后5个月）时，该手术取得了良好的肿瘤学结果。这是我们机构实施的首例保留生育功能的根治性宫颈切除术病例。
宫颈切除术是早期浸润性宫颈癌一种有价值的保守手术方法。
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