Preservación de la fertilidad en estadios iniciales de cáncer de cuello uterino

Percy Rosazza; Juan Hernández; Walter Urtega

doi:10.31403/rpgo.v60i112

Autores/as

Percy Rosazza Servicio de Ginecología Oncológica, Departamento de Oncología, Hospital María Auxiliadora, Lima, Perú Profesor de ginecología oncológica, Universidad San Juan Bautista, Lima, Perú Director médico de Neovida Centro Oncológico, Médico del staff de Oncosalud, Lima, Perú
Juan Hernández Servicio de Ginecología Oncológica, Departamento de Oncología, Hospital María Auxiliadora, Lima, Perú
Walter Urtega Jefe, Departamento de Ginecología, Hospital Naval, Lima, Perú

DOI:

https://doi.org/10.31403/rpgo.v60i112

Resumen

La incidencia de cáncer cervical ha aumentado en mujeres jóvenes, en quienes se requiere prestar atención a la preservación de la fertilidad. Se presenta dos casos de pacientes con cáncer temprano de cuello uterino, en estadios iniciales IA2 e IB1 sin metástasis en ganglios pélvicos, y se analiza nuestra experiencia en la aplicación de la técnica quirúrgica de traquelectomía radical abdominal, de manera de preservar la fertilidad.

Descargas

Los datos de descargas todavía no están disponibles.

Citas

Abu-Rustum NR, Sonoda Y, Black D, Levine DA, Chi DS, Barakat RR. Fertility-sparing radical abdominal trachelectomy for cervical carcinoma: technique and review of the literature. Gynecol Oncol. 2006;103:807–13.

Merrill RM, Capocaccia R, Feuer EJ, Mariotto A. Cancer prevalence estimates based on tumour registry data in the Surveillance, Epidemiology, and End Results (SEER) program. Int J Epidemiol. 2000;29:197–207.

Shepherd JH, Crawford RAF, Oram DH. Radical trachelectomy: a way to preserve fertility in the treatment of early cervical cancer. Br J Obstet Gynaecol. 1998;105:912-6.

Covens A. Preserving fertility in early cervical cancer with radical trachelectomy. Contemp Obstet Gynecol. 2003;2:46-66.

Benedetti-Panici P, Maneschi F, D’Andrea G, Cutillo G, Rabitti C, Congiu M, Coronetta F, Capelli A. Early cervical carcinoma: the natural history of lymph node involvement redefined on the basis of thorough parametrectomy and giant section study. Cancer. 2000;88:2267-74.

Aburel E. Proceedings: extended abdominal extirpation of cervix and isthmus in early stages of cervix carcinoma (carcinoma in situ and microcarcinoma). Arch Gynakol. 1973;214(1):106–8.

Ungár L, Pálfalvi L, Hogg R, Siklós P, Boyle DC, Del Priore G, Smith JR. Abdominal radical trachelectomy: a fertility-preserving option for women with early cervical cancer. BJOG. 2005;112:366-9.

Pareja FR, Ramirez PT, Borrero FM, Angel CG. Abdominal radical trachelectomy for invasive cervical cancer: a case series and literature review. Gynecol Oncol. 2008;111:555–60.

Rodriguez M, Guimares O, Rose PG. Radical abdominal trachelectomy and pelvic lymphadenectomy with uterine conservation and subsequent pregnancy in the treatment of early invasive cervical cáncer. Am J Obstet Gynecol. 2001;185:370-4.

Shepherd JH, Milliken DA. Conservative surgery for carcinoma of the cervix. Clin Oncol. 2008;20:395-400.

Nishio H, Fujii T, Kameyama K, Susumu N, Nakamura M, Iwata T, Aoki D. Abdominal radical trachelectomy as a fertility-sparing procedure in women with early-stage cervical cancer in a series of 61 women. Gynecol Oncol. 2009;115:51–5.

Plante M. Vaginal radical yrachelectomy: an update. Gynecol Oncol. 2008;S105-10.

Ismail N, Ghorab Z, Covens A, Nofech-Mozes S, Saad R, Dubé V, Khalifa MA. Intraoperative margin assessment of the radical trachelectomy specimen. Gynecol Oncol. 2009;113:42–6.

Tanguay C, Plante M, Renaud MC, Roy M, Têtu B. Vaginal radical trachelectomy in the treatment of cervical cancer: the role of frozen section. Int J Gynecol Pathol. 2004;23(2):170–5.

Smith JR, Boyle DC, Corless DJ, Ungar L, Lawson AD, Del Priore G, et al.Abdominal radical trachelectomy: a new surgical technique for the conservative management of cervical carcinoma. Br J Obstet Gynaecol. 1997;104(10):1196–2000.

Clinical Commentary. Options in the management of fertility- related issues after radical trachelectomy in patients with early cervical cáncer. Gynecol Oncol. 2009;114:117–20.