Performing a radical trachelectomy with uterine transposition in a patient with stage IB2 cervical cancer: A case report

Alena Chernyshova; Ekaterina Marchenko; Timofey Chekalkin; Larisa Kolomiets; Vladimir Chernov

doi:10.1016/j.ctarc.2023.100681

Performing a radical trachelectomy with uterine transposition in a patient with stage IB2 cervical cancer: A case report

Cancer Treat Res Commun. 2023:34:100681. doi: 10.1016/j.ctarc.2023.100681. Epub 2023 Jan 7.

Authors

Alena Chernyshova¹, Ekaterina Marchenko², Timofey Chekalkin³, Larisa Kolomiets⁴, Vladimir Chernov¹

Affiliations

¹ Tomsk Cancer Research Institute, Tomsk National Research Medical Center of the Russian Academy of Sciences, Tomsk, Russia.
² Tomsk State University, Tomsk, Russia.
³ Tomsk State University, Tomsk, Russia; R&D Center, TiNiKo Co., Osong, South Korea. Electronic address: tc77@rec.tsu.ru.
⁴ Tomsk Cancer Research Institute, Tomsk National Research Medical Center of the Russian Academy of Sciences, Tomsk, Russia; Siberian State Medical University, Tomsk, Russia.

PMID: 36638644
DOI: 10.1016/j.ctarc.2023.100681

Abstract

We describe a case of a woman with invasive IB2 cervical cancer who desired to maintain fertility and required complex treatment. The suggested surgical approach with uterine transposition improves the existing radical trachelectomy procedure. Oncologic outcomes are encouraging, and no perioperative complications were noted. This report may represent a "milestone" in fertility-sparing surgeries, supporting the feasibility and safety of the opted method in stage IB2 cervical cancer with tumors about or smaller than 2 cm.

Keywords: Cervical cancer; Fertility-sparing surgery; Obstetrics; Radical trachelectomy; Sentinel lymph nodes; TiNi mesh implant.

Publication types

Case Reports
Research Support, Non-U.S. Gov't

MeSH terms

Carcinoma, Squamous Cell* / pathology
Female
Fertility Preservation* / methods
Humans
Trachelectomy* / methods
Uterine Cervical Neoplasms* / pathology
Uterine Cervical Neoplasms* / surgery