Radical vaginal trachelectomy after supracervical hysterectomy Article

Mendez, LE, Penalver, M, McCreath, W et al. (2002). Radical vaginal trachelectomy after supracervical hysterectomy . GYNECOLOGIC ONCOLOGY, 85(3), 545-547. 10.1006/gyno.2002.6660

cited authors

  • Mendez, LE; Penalver, M; McCreath, W; Bejarano, P; Angioli, R

authors

abstract

  • Background. Radical vaginal trachelectomy (RVT) is an acceptable approach when applied toward a select group of patients with early stage cervical carcinoma. It is less invasive, can maintain fertility, and can be ideal in patients with significant comorbid factors compared to abdominal approaches. A small subset of patients with a previous supracervical hysterectomy can pose a surgical dilemma. Case. An 81-year-old woman with a history of severe cardiac disease on routine gynecological examination was found to have adenocarcinoma in situ with a focus suspicious for invasion of the cervical stump diagnosed by cone biopsy. She previously had a supracervical hysterectomy for benign disease of the uterus. A RVT was performed as definitive treatment and the patient recovered without complications. Conclusion. In the rare case that presents with a history of supracervical hysterectomy, RVT with some technical modifications can still be considered as a therapeutic option for early stage cervical carcinoma. © 2002 Elsevier Science (USA).

publication date

  • January 1, 2002

published in

Digital Object Identifier (DOI)

start page

  • 545

end page

  • 547

volume

  • 85

issue

  • 3