Fertility-Sparing and Less Radical Surgery for Cervical Cancer.

Fertility-Sparing and Less Radical Surgery for Cervical Cancer.
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保留生育能力和不太激进的宫颈癌手术。

DOI:
10.1007/s11912-022-01317-w
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发表时间:
2022-11
影响因子:
4.7
通讯作者:
--
中科院分区:
医学2区
文献类型:
--
作者:

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Patients with early-stage cervical cancer who desire future fertility may be candidates for less radical surgery. We review the literature supporting this approach in early-stage disease. Retrospective data have shown that in carefully selected patients, the risk of parametrial involvement is less than 1%. This has led to interest in moving away from radical surgery towards more conservative approaches. Data from the newly published ConCerv trial, a prospective study evaluating the feasibility of conservative surgery in women with early-stage, low-risk cervical carcinoma, suggest that conservative surgery is feasible and safe in this patient population. Furthermore, neoadjuvant chemotherapy is being assessed as an option to extend fertility-sparing treatment to a larger group of women. Less radical surgery may be appropriate for carefully selected women with early-stage, low-risk cervical cancer, including those desiring future fertility.
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