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Fertility-Sparing Surgery for Early-Stage Uterine Cervical Cancer

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Uterine Cervical Cancer

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Abstract

Cervical cancer is the second most common gynecological cancer, and approximately 45% are diagnosed in women younger than 40 years. In Western societies, in which women tend to delay childbearing and cervical cancer incidence peaks within the third decade of life, fertility-sparing treatment options have become a major issue.

In recent years, radical trachelectomy with pelvic lymphadenectomy has become an option for young patients with early-stage minimally invasive cervical cancers (stages IB1 or less) who wish to conserve their uterus, in order to preserve their fertility. Multiple studies have demonstrated the safety and feasibility of radical trachelectomy, as well as acceptable obstetrical outcomes. The aim of this chapter is to answer the main issues on this topic, such as surgical techniques, patient selection, and oncological and obstetric outcomes, according to the evidence published to date.

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Author information

Authors and Affiliations

  1. Department of Gynecology, Hospital Universitario La Paz, Madrid, Spain

    Elisa Moreno-Palacios

  2. Department of Gynecology, Hospital Universitari Quiron-Dexeus, Barcelona, Spain

    Claudia Blancafort

  3. Gynecologic Oncology Unit, La Paz University Hospital, Madrid, Spain

    Maria Lombarte

  4. Gynecologic Oncology Unit, La Paz University Hospital-IdiPAZ, Madrid, Spain

    Ignacio Zapardiel

Authors
  1. Elisa Moreno-Palacios
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  2. Claudia Blancafort
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  3. Maria Lombarte
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  4. Ignacio Zapardiel
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Editor information

Editors and Affiliations

  1. The Joan and Sanford I. Weill Medical College/Graduate School of Medical Sciences, The New York Presbyterian Hospital-Weill Cornell Medical Center, and Sandra and Edward Meyer Cancer Center, Cornell University, New York, NY, USA

    Samir A. Farghaly

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Moreno-Palacios, E., Blancafort, C., Lombarte, M., Zapardiel, I. (2019). Fertility-Sparing Surgery for Early-Stage Uterine Cervical Cancer. In: Farghaly, S. (eds) Uterine Cervical Cancer. Springer, Cham. https://doi.org/10.1007/978-3-030-02701-8_9

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  • DOI: https://doi.org/10.1007/978-3-030-02701-8_9

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-02700-1

  • Online ISBN: 978-3-030-02701-8

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