Abstract
There is no standard surgical treatment for patients with stage IB cervical cancer. The current primary operative approaches include class III radical hysterectomy (RH), class II RH, nerve-sparing RH, and individualization of surgical management such as Trachelectomy and Laparoscopic RH. The ideal surgical management of cervical cancer patients should be tailored on the basis of prognostic factors, age and quality of life. Within the discussion concerning the optimal level of radicality of hysterectomy, which is still controversial, the new concept of nerve-sparing RH has to be considered in order to reduce morbidity without compromising the oncological disease control, as well as laparoscopic approach to RH. The trend towards more conservative surgery is most relevant for younger women diagnosed with cervical cancer, for whom pregnancy may be an important issue. Radical Trachelectomy is a method of treating early invasive cervical cancers while retaining the body of the uterus. The radical trachelectomy can offer the chance of fertility preservation with good survival in well selected patients. The main issue is to define the inclusion criteria in a more extensive study. This paper reviews the evolution of concepts concerning the extent of radical hysterectomy for FIGO stage I cervical cancer.
Keywords: FIGO stage I, evolutions of techniques, radical hysterectomy, nerve-sparing technique, trachelectomy
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RARE CASES IN GYNECOLOGY-OBSTETRICS
With the development of diagnostic and therapeutic techniques (such as ART techniques) and the immersion of new pathologies (such as COVID19), we are witnessing an increase in the incidence of pathologies that were previously described as rare or exceptional. the practitioner sometimes confronts difficult situations in these cases in diagnostic ...read more
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