Abstract:

With the popularity of cervical cancer screening and the proficient use of colposcopy, an increasing number of patients with early-stage cervical cancer are being diagnosed, and the trend of its incidence is skewing younger age. There is a significant clinical demand for preserve fertility while treating cervical cancer. For patients with large cervical tumors who wish to preserve their reproductive function, neoadjuvant chemotherapy can first ′reduce′ tumor stages, followed by radical cervical surgery to make pregnancy possible. It was reported that a 26-year-old patient with stage ⅠB2 cervical cancer underwent radical cervicectomy after neoadjuvant chemotherapy to reduce the tumor. During the operation, the bilateral ascending branches of the uterine arteries were preserved, and a patch was placed around the isthmus to prevent cervical insufficiency. The patch was exposed and removed after 11 months of exposure after the operation. The patient had a successful pregnancy nearly two years after surgery. Based on this case, the necessity of intraoperative patch placement and the choice of cesarean section were discussed.

Key words: Uterine cervical neoplasms, Trachelectomy, Chemoradiotherapy, adjuvant, Pregnancy, Case reports