ABSTRACT
Radical vaginal trachelectomy now affords a fertility-sparing procedure for the treatment of early-stage cervical cancer in young women. Subsequent obstetric management within this group of women remains a challenge to the obstetrician, with risks of premature labour a continuing probability throughout pregnancy. Here we describe four cases of successful pregnancy following radical vaginal trachelectomy within our unit. The merits of early antenatal intervention, regular lower uterine segment length monitoring and use of daily progesterone pessaries are discussed, alongside the current supportive evidence. We conclude with a discussion of proposed recommendations for obstetric management of pregnancy in women post-radical vaginal trachelectomy.
Subject(s)
Adenocarcinoma/surgery , Cesarean Section , Gynecologic Surgical Procedures/adverse effects , Pregnancy Complications/etiology , Uterine Cervical Neoplasms/surgery , Adult , Female , Humans , Middle Aged , PregnancyABSTRACT
This is the first known documented case of a successful pregnancy following fertility-preserving radical trachelectomy, ovum donation and in vitro fertilisation.
Subject(s)
Carcinoma, Squamous Cell/surgery , Cervix Uteri/surgery , Fertilization in Vitro/methods , Oocyte Donation/methods , Pregnancy , Uterine Cervical Dysplasia/surgery , Uterine Cervical Neoplasms/surgery , Female , Humans , Middle AgedABSTRACT
This is a case report of a 49-year-old woman who presented with offensive vaginal discharge. Her Lippes loop IUD was removed and discovered to have suspicious material attached. Histology report was of endometrial carcinoma. This is the first report of an endometrial carcinoma being completely removed along with an IUD.
