Fertility-sparing and less radical surgery for cervical cancer
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Authors
Batman, Samantha H.
Schmeler, Kathleen M.
Issue Date
2022-08-12
Type
Article
Language
en_US
Keywords
Cervical Cancer , Fertility-Sparing , Conservative Surgery , Conization , Simple Hysterectomy , Simple Trachelectomy
Alternative Title
Abstract
Purpose of Review:
Patients with early-stage cervical cancer who desire future fertility may be candidates for less radical surgery. We review the literature supporting this approach in early-stage disease.
Recent Findings:
Retrospective data have shown that in carefully selected patients, the risk of parametrial involvement is less than 1%. This has led to interest in moving away from radical surgery towards more conservative approaches. Data from the newly published ConCerv trial, a prospective study evaluating the feasibility of conservative surgery in women with early-stage, low-risk cervical carcinoma, suggest that conservative surgery is feasible and safe in this patient population. Furthermore, neoadjuvant chemotherapy is being assessed as an option to extend fertility-sparing treatment to a larger group of women.
Summary:
Less radical surgery may be appropriate for carefully selected women with early-stage, low-risk cervical cancer, including those desiring future fertility.
Description
Citation
Batman, S. H., & Schmeler, K. M. (2022). Fertility-Sparing and Less Radical Surgery for Cervical Cancer. Current oncology reports, 24(11), 1541–1548. https://doi.org/10.1007/s11912-022-01317-w
Publisher
Current Oncology Reports