Radical Abdominal Trachelectomy for IB1 Cervical Cancer at 17 Weeks of Gestation: A Case Report and Literature Review

Table 1

Obstetrical and oncological outcome of radical abdominal trachelectomy during pregnancy reported in the literature.

Number	Stage	Histology	Radical abdominal trachelectomy outcome					Pregnancy outcome	Cancer prognosis	Author, year
			GA at surgery	Uterine artery	Number of removed LNs	Operation time (h)	Blood loss (mL)
1	IB1	SCC	7 w	Preserved	NA	NA	NA	Abortion (7 w)	NED (median 40 months, range, 10–54 months)	Ungr et al., 2006 [7]
2	IB1	SCC	8 w	Preserved	NA	NA	NA	Abortion (8 w)
3	IB1	SCC	9 w	Preserved	NA	NA	NA	C/S (38 w), 3220 g, a girl
4	IB1	SCC	13 w	Preserved	NA	NA	NA	Abortion (15 w)	Number 1–5	Number 1–5
5	IA2	SCC	18 w	Preserved	NA	NA	NA	C/S (39 w), 2980 g, a boy
6	IB1	SCC	19 w	NA	NA	5	450	C/S, PROM (36 w), 2580 g, a boy	NED (16 months)	Mandic et al., 2009 [1]
7	IB1	Lymphoepithelial	15 w	Lt. ligated	9	3.5	1600	C/S (39 w)	NA	Abu-Rustum et al., 2010 [8]
8	IB2	SCC	22 w	Bil. ligated	NA	NA	200	IUFD (22 w), Placenta: hypoxic change	NA	Karateke et al., 2010 [9]
9	IB1	SCC	15 w	Rt. ligated	16	7.5	1200	C/S (37 w), 2584 g, a girl	NED (12 months)	Enomoto et al., 2011 [10]
10	IB1	SCC	17 w	Preserved	13	6.3	2510	C/S (38 w), 2970 g, a girl	NED (10 months)	Present case

GA: gestational age; SCC: squamous cell carcinoma; C/S: cesarean section; PROM: premature rupture of membrane; NED: no evidence of disease; NA: not addressed; LNs: lymph nodes.