Early Cervical Cancer: Can Fertility Be Safely Preserved?

  • Lukas Rob
  • Ruud Bekkers


Controversies exist about indication criteria for fertility-sparing surgery, optimal preoperative and intraoperative management, sentinel lymph node mapping, and intraoperative frozen section. We discuss optimal surgical radicality of fertility-sparing procedures that vary according to the radicality of the resection of paracervical tissue, surgical technique of lymphadenectomy, and technique to reconstruct the neocervix. Neoadjuvant chemotherapy incorporation into the management is one of the topics under current research. Follow-up of the patients needs to include long-term oncological results, fertility and pregnancy results, and quality of life.


Cervical Cancer Sentinel Lymph Node Radical Hysterectomy Freeze Section Stromal Invasion 


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Copyright information

© Springer-Verlag London 2014

Authors and Affiliations

  • Lukas Rob
    • 1
    • 2
  • Ruud Bekkers
    • 3
  1. 1.Department of Obstetrics and Gynaecology2nd Medical Faculty, Charles University PraguePragueCzech Republic
  2. 2.Department of Obstetrics and Gynaecology2nd Medical Faculty, University Hospital MotolPragueCzech Republic
  3. 3.Obstetrics and Gynaecology 791Radboud University Nijmegen Medical CenterNijmegenThe Netherlands

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