Reproductive concerns of women treated with radical trachelectomy for cervical cancer Journal Article
| Authors: | Carter, J.; Sonoda, Y.; Abu-Rustum, N. R. |
| Article Title: | Reproductive concerns of women treated with radical trachelectomy for cervical cancer |
| Abstract: | Objective.: To report the reproductive concerns of women treated for stage I cervical cancer with fertility-preserving surgery. Materials and methods.: Newly diagnosed cervical cancer patients undergoing radical trachelectomy were enrolled in this study preoperatively and assessed over time. Preliminary data from the preoperative analysis and 3-month and 6-month assessment points addressing reproductive concerns are presented. Results.: Between February 2004 and June 2006, 29 patients were enrolled in the study. Three patients were excluded because they did not undergo the planned surgery and 6 patients were excluded because they required adjuvant therapy. Future childbearing was the main reason most women chose to undergo the procedure; however, treatment choice was also guided by conversations with their doctors (41%, n = 12). Twenty-six (90%) initially expressed concern over future conception and childbearing, but this increased to all patients by 6 months. At enrollment, the majority of the patients had high expectations for future conception and childbearing but this declined over time. Despite this, patients' distress gradually decreased over time. Conclusions.: Our results show that many women who have undergone a radical trachelectomy present with distress and reproductive concerns that persist for up to 6 months postoperatively. Concerns about conception appear to decrease following surgery; however, concerns about pregnancy appear to increase post trachelectomy itself. This pilot study reflects the first preliminary data from an active ongoing study prospectively collecting information over 2 years from newly diagnosed stage I cervical cancer patients undergoing radical trachelectomy. © 2006 Elsevier Inc. All rights reserved. |
| Keywords: | adolescent; adult; clinical article; controlled study; middle aged; cancer surgery; surgical technique; prospective study; pilot study; uterine cervix cancer; pregnancy; anxiety; radical trachelectomy; fertility; uterine cervical neoplasms; trachelectomy; female fertility; reproduction; reproductive concerns |
| Journal Title: | Gynecologic Oncology |
| Volume: | 105 |
| Issue: | 1 |
| ISSN: | 0090-8258 |
| Publisher: | Elsevier Inc. |
| Date Published: | 2007-04-01 |
| Start Page: | 13 |
| End Page: | 16 |
| Language: | English |
| DOI: | 10.1016/j.ygyno.2006.10.059 |
| PUBMED: | 17188344 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | --- - "Cited By (since 1996): 16" - "Export Date: 17 November 2011" - "CODEN: GYNOA" - "Source: Scopus" |
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