Early cervical cancer treatment and pregnancy

Cervical cancer is the 4 the most common cancer in women’s across the world, with a 10 year survival rate of more than 60%. An important proportion of these women are at a reproductive age. Therefore depending of the stage at the time of diagnosis, different approaches have been used in order to preserve fertility function. Two methods have been tried, knife biopsy with or without laparoscopic lymphadenectomy and trachelectomy for IA1, respectively IA2-IB1. Described by Dargent in 1994, has changed approach in cervical cancer for young women that have not completed their families. The rational behind this technique is to remove the cervix and surround parametrium, followed uniting the vagina to the isthmus, anastomosis which is reinforced by a stich.