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Outcome and Subsequent Pregnancy after Fertility-Sparing Surgery of Early-Stage Cervical Cancers

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  • Chia-Yi Lee

    (Department of Obstetrics and Gynecology, College of Medicine, National Taiwan University, Taipei 100, Taiwan)

  • Yu-Li Chen

    (Department of Obstetrics and Gynecology, College of Medicine, National Taiwan University, Taipei 100, Taiwan)

  • Ying-Cheng Chiang

    (Department of Obstetrics and Gynecology, College of Medicine, National Taiwan University, Taipei 100, Taiwan
    Department of Obstetrics and Gynecology, National Taiwan University Hospital, Yun-Lin Branch, Douliou City 640, Yunlin County, Taiwan)

  • Ching-Yu Cheng

    (Department of Obstetrics and Gynecology, College of Medicine, National Taiwan University, Taipei 100, Taiwan)

  • Yen-Ling Lai

    (Department of Obstetrics and Gynecology, College of Medicine, National Taiwan University, Taipei 100, Taiwan
    Department of Obstetrics and Gynecology, National Taiwan University Hospital, Hsin-Chu Branch, Hsin-Chu City 300, Taiwan)

  • Yi-Jou Tai

    (Department of Obstetrics and Gynecology, College of Medicine, National Taiwan University, Taipei 100, Taiwan
    Graduate Institute of Clinical Medicine, College of Medicine, National Taiwan University, Taipei 100, Taiwan)

  • Heng-Cheng Hsu

    (Department of Obstetrics and Gynecology, College of Medicine, National Taiwan University, Taipei 100, Taiwan
    Department of Obstetrics and Gynecology, National Taiwan University Hospital, Hsin-Chu Branch, Hsin-Chu City 300, Taiwan
    Graduate Institute of Clinical Medicine, College of Medicine, National Taiwan University, Taipei 100, Taiwan)

  • Hsiao-Lin Hwa

    (Department of Obstetrics and Gynecology, College of Medicine, National Taiwan University, Taipei 100, Taiwan
    Department and Graduate Institute of Forensic Medicine, College of Medicine, National Taiwan University, Taipei 100, Taiwan
    Department of Medical Genetics, National Taiwan University Hospital, Taipei 100, Taiwan)

  • Wen-Fang Cheng

    (Department of Obstetrics and Gynecology, College of Medicine, National Taiwan University, Taipei 100, Taiwan
    Graduate Institute of Clinical Medicine, College of Medicine, National Taiwan University, Taipei 100, Taiwan
    Graduate Institute of Oncology, College of Medicine, National Taiwan University, Taipei 100, Taiwan)

Abstract

We aimed to investigate the outcomes and subsequent pregnancies of early-stage cervical cancer patients who received conservative fertility-sparing surgery. Women with early-stage cervical cancer who underwent conservative or fertility-sparing surgery in a tertiary medical center were reviewed from 2004 to 2017. Each patient’s clinicopathologic characteristics, adjuvant therapy, subsequent pregnancy, and outcome were recorded. There were 32 women recruited, including 12 stage IA1 patients and 20 stage IB1 patients. Twenty-two patients received conization/LEEP and the other 10 patients received radical trachelectomy. Two patients did not complete the definite treatment after fertility-sparing surgery. There were 11 women who had subsequent pregnancies and nine had at least one live birth. The live birth rate was 73.3% (11/15). We conclude that patients with early-stage cervical cancer who undergo fertility-sparing surgery can have a successful pregnancy and delivery. However, patients must receive a detailed consultation before surgery and undergo definitive treatment, if indicated, and regular postoperative surveillance.

Suggested Citation

  • Chia-Yi Lee & Yu-Li Chen & Ying-Cheng Chiang & Ching-Yu Cheng & Yen-Ling Lai & Yi-Jou Tai & Heng-Cheng Hsu & Hsiao-Lin Hwa & Wen-Fang Cheng, 2020. "Outcome and Subsequent Pregnancy after Fertility-Sparing Surgery of Early-Stage Cervical Cancers," IJERPH, MDPI, vol. 17(19), pages 1-11, September.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:19:p:7103-:d:420826
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    References listed on IDEAS

    as
    1. Wonsuk Yoo & Sangmi Kim & Warner K Huh & Sarah Dilley & Steven S Coughlin & Edward E Partridge & Yunmi Chung & Vivian Dicks & Jae-Kwan Lee & Sejong Bae, 2017. "Recent trends in racial and regional disparities in cervical cancer incidence and mortality in United States," PLOS ONE, Public Library of Science, vol. 12(2), pages 1-13, February.
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