A fertility-sparing alternative to radical hysterectomy: How many patients may be eligible? Journal Article
| Authors: | Sonoda, Y.; Abu-Rustum, N. R.; Gemignani, M. L.; Chi, D. S.; Brown, C. L.; Poynor, E. A.; Barakat, R. R. |
| Article Title: | A fertility-sparing alternative to radical hysterectomy: How many patients may be eligible? |
| Abstract: | To determine the percentage of patients with early-stage cervical cancer who may be eligible for fertility preservation with laparoscopic radical vaginal trachelectomy (LRVT). We retrospectively reviewed the records of patients who underwent a radical hysterectomy for invasive cervical cancer at our institution from 12/85 to 8/01, before our use of LRVT at Memorial Sloan-Kettering Cancer Center. Institutional eligibility criteria for LRVT were applied. Patients ≥40 years of age were considered ineligible. We identified 435 patients who had undergone radical hysterectomy for cervical cancer; 186 were age <40 at surgery and constituted our study population. Eighty-nine (48%) patients may have been eligible by our pathologic criteria. In 12 patients, LRVT may have been aborted or altered because of unexpected disease spread. A significant number of patients <40 with early-stage cervical cancer may be pathologically eligible for LRVT and should be counseled on this preoperatively. © 2004 Elsevier Inc. All rights reserved. |
| Keywords: | adult; retrospective studies; review; patient selection; cancer staging; hysterectomy; neoplasm staging; laparoscopy; laparoscopic surgery; uterine cervix cancer; medical record; gynecologic surgical procedures; fertility; uterine cervical neoplasms; patient counseling; radical hysterectomy; cervical cancer; humans; human; female; priority journal; laparoscopic radical vaginal trachelectomy; patient eligibility |
| Journal Title: | Gynecologic Oncology |
| Volume: | 95 |
| Issue: | 3 |
| ISSN: | 0090-8258 |
| Publisher: | Elsevier Inc. |
| Date Published: | 2004-12-01 |
| Start Page: | 534 |
| End Page: | 538 |
| Language: | English |
| DOI: | 10.1016/j.ygyno.2004.07.060 |
| PROVIDER: | scopus |
| PUBMED: | 15581959 |
| DOI/URL: | |
| Notes: | Gynecol. Oncol. -- Cited By (since 1996):70 -- Export Date: 16 June 2014 -- CODEN: GYNOA -- Source: Scopus |
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