Reproductive outcomes after laparoscopic radical trachelectomy for early-stage cervical cancer / 부인종양
Journal of Gynecologic Oncology
;
: 9-13, 2014.
Article
in English
| WPRIM
| ID: wpr-202954
ABSTRACT
OBJECTIVE:
The objective of this study was to estimate the reproductive outcome of young women with early-stage cervical cancer who underwent fertility-sparing laparoscopic radical trachelectomy (LRT).METHODS:
We performed a retrospective review of the medical records of patients with early-stage cervical cancer who underwent LRT. Clinicopathological data were obtained from patient medical records, and reproductive outcome data were obtained from patient medical records and telephone interviews.RESULTS:
Fifty-five patients who underwent successful LRT were included in this study. The median age of patients was 32 years (range, 22 to 40 years), and the median follow-up time after LRT was 37 months (range, 3 to 105 months). Menstruation resumed in all patients after LRT, with fifty patients (90.9%) and five patients (9.1%) reporting regular and irregular menstruation, respectively. Six patients (10.9%) presented with cervical stenosis, which was manifested by regular but decreased menstrual flow and newly-developed dysmenorrhea. These patients underwent cervical cannulation and dilatation. Eighteen patients (32.7%) attempted to conceive, with six out of 18 patients receiving fertility treatments. Fourteen pregnancies (i.e., four missed abortions, six preterm births and four full-term births) occurred in 10 patients after LRT. Nine out of 10 patients gave birth to 10 healthy babies. The pregnancy rate after LRT was 55.6% (10/18). The spontaneous abortion rate and live birth rate were 28.6% (4/14) and 71.4% (10/14), respectively. The preterm birth rate was 60% (6/10).CONCLUSION:
Pregnancy and live birth rates after LRT were promising; however, the preterm birth rate was relatively high. Cervical stenosis also occurred in a small percentage of patients.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pregnancy Outcome
/
Catheterization
/
Abortion, Spontaneous
/
Uterine Cervical Neoplasms
/
Medical Records
/
Interviews as Topic
/
Retrospective Studies
/
Follow-Up Studies
/
Abortion, Missed
/
Pregnancy Rate
Type of study:
Observational study
/
Prognostic study
/
Qualitative research
Limits:
Female
/
Humans
/
Pregnancy
Language:
English
Journal:
Journal of Gynecologic Oncology
Year:
2014
Type:
Article
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