"But luckily I was offered a relatively new treatment called a radical
trachelectomy, which leaves patients with a 50% chance of conceiving.
NEW ORLEANS -- Pregnancy following radical
trachelectomy for cervical cancer is generally safe, according to a study of 80 patients who underwent the procedure.
The first
trachelectomy operation was carried out in 1994 at St Bartholomew's by Professor John Shepherd, a consultant gynaecological oncologist, who has since carried out 51 more.
-- Pathologic findings from preoperative endocervical sampling were fairly consistent with the underlying pathologies identified at
trachelectomy, based on a single-center, retrospective chart review presented at the AAGL Global Congress.
On July 8 she had a radical
trachelectomy - keyhole surgery to remove the cervix - and diseased lymph nodes were cut out.
I opted for the latter as there was a slightly higher chance the cancer would return with a
trachelectomy. I couldn't risk leaving my son Kye, now seven, without a mum.
Of the 612 LEEP specimens on file between July 1, 2003, and August 31, 2010, a total of 234 cases were excluded for reasons including disease other than cervical dysplasia/neoplasia (7), lack of retrievable patient charting (18), no previous cervical biopsy specimen on file (54), specimen other than LEEP (eg,
trachelectomy) (6), "repeat" patients (9), lack of postprocedure follow-up (138), and noninterpretable original LEEP specimens (2).
But Mrs Oliver was one of the first women in the North West to have a new procedure - a
trachelectomy - at Liverpool Women's in 2000.
* Stage 1A2 involves three treatment options: radical hysterectomy and removal of lymph nodes in the pelvis; external beam radiation combined with brachytherapy; or, if you still want to have children, radical
trachelectomy (surgery that removes the cervix and the pelvic lymph nodes) combined with removal of pelvic lymph nodes.
Radical
trachelectomy involves removal of just the cervix, leaving the uterus in place.