Radical vaginal trachelectomy after supracervical hysterectomy

Luis E. Mendez, Manuel Penalver, Wayne McCreath, Pablo Bejarano, Roberto Angioli

Research output: Contribution to journalArticle

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.

Original languageEnglish (US)
Pages (from-to)545-547
Number of pages3
JournalGynecologic oncology
Volume85
Issue number3
DOIs
StatePublished - Jan 1 2002

Keywords

  • Cervical carcinoma
  • Cervical stump
  • Radical vaginal trachelectomy

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Oncology

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    Mendez, L. E., Penalver, M., McCreath, W., Bejarano, P., & Angioli, R. (2002). Radical vaginal trachelectomy after supracervical hysterectomy. Gynecologic oncology, 85(3), 545-547. https://doi.org/10.1006/gyno.2002.6660