Successful Pregnancy following Myomectomy Accompanied with Abdominal Radical Trachelectomy for an Infertile Woman with Early Cervical Cancer: A Case Report and Literature Review

Women in the reproductive age group diagnosed with cervical cancer can receive radical trachelectomy in case they wish to preserve fertility. However, the indication for this procedure in infertile women with cervical cancer is controversial depending on the underlying cause of infertility. Here, we...

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Main Authors: Yuji Kamei, Ai Miyoshi, Nao Wakui, Takeya Hara, Serika Kanao, Hirokazu Naoi, Hirofumi Otsuka, Takeshi Yokoi
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2018/5623717
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author Yuji Kamei
Ai Miyoshi
Nao Wakui
Takeya Hara
Serika Kanao
Hirokazu Naoi
Hirofumi Otsuka
Takeshi Yokoi
author_facet Yuji Kamei
Ai Miyoshi
Nao Wakui
Takeya Hara
Serika Kanao
Hirokazu Naoi
Hirofumi Otsuka
Takeshi Yokoi
author_sort Yuji Kamei
collection DOAJ
description Women in the reproductive age group diagnosed with cervical cancer can receive radical trachelectomy in case they wish to preserve fertility. However, the indication for this procedure in infertile women with cervical cancer is controversial depending on the underlying cause of infertility. Here, we present a case of a successful pregnancy following myomectomy accompanied with abdominal radical trachelectomy for an infertile woman with early cervical cancer. The patient was a 38-year-old nulliparous woman with a significant past medical history of infertility of unknown origin. She had been undergoing treatment with assisted reproductive technologies including artificial insemination and in vitro fertilization for over four years. During her treatment for infertility, she was diagnosed with stage IB1 cervical squamous cell carcinoma. She received abdominal radical trachelectomy and abdominal myomectomy in the same surgical procedure. Six months after the surgery, she went for the first embryo transfer and became pregnant. At 26 weeks of pregnancy, a male baby weighing 980 g was delivered with an Apgar score of 3/5/7 by cesarean section due to chorioamnionitis. The baby has received general care in a neonatal intensive care unit for four months and weighed 4520 g when discharged.
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institution Kabale University
issn 2090-6900
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language English
publishDate 2018-01-01
publisher Wiley
record_format Article
series Case Reports in Surgery
spelling doaj-art-19580cf631b54a6ea2c9b56e2a40a8642025-08-20T03:55:45ZengWileyCase Reports in Surgery2090-69002090-69192018-01-01201810.1155/2018/56237175623717Successful Pregnancy following Myomectomy Accompanied with Abdominal Radical Trachelectomy for an Infertile Woman with Early Cervical Cancer: A Case Report and Literature ReviewYuji Kamei0Ai Miyoshi1Nao Wakui2Takeya Hara3Serika Kanao4Hirokazu Naoi5Hirofumi Otsuka6Takeshi Yokoi7Department of Obstetrics and Gynecology, Kaizuka City Hospital, Kaizuka, Osaka, JapanDepartment of Obstetrics and Gynecology, Kaizuka City Hospital, Kaizuka, Osaka, JapanDepartment of Obstetrics and Gynecology, Kaizuka City Hospital, Kaizuka, Osaka, JapanDepartment of Obstetrics and Gynecology, Kaizuka City Hospital, Kaizuka, Osaka, JapanDepartment of Obstetrics and Gynecology, Kaizuka City Hospital, Kaizuka, Osaka, JapanDepartment of Obstetrics and Gynecology, Kaizuka City Hospital, Kaizuka, Osaka, JapanDepartment of Obstetrics and Gynecology, Kaizuka City Hospital, Kaizuka, Osaka, JapanDepartment of Obstetrics and Gynecology, Kaizuka City Hospital, Kaizuka, Osaka, JapanWomen in the reproductive age group diagnosed with cervical cancer can receive radical trachelectomy in case they wish to preserve fertility. However, the indication for this procedure in infertile women with cervical cancer is controversial depending on the underlying cause of infertility. Here, we present a case of a successful pregnancy following myomectomy accompanied with abdominal radical trachelectomy for an infertile woman with early cervical cancer. The patient was a 38-year-old nulliparous woman with a significant past medical history of infertility of unknown origin. She had been undergoing treatment with assisted reproductive technologies including artificial insemination and in vitro fertilization for over four years. During her treatment for infertility, she was diagnosed with stage IB1 cervical squamous cell carcinoma. She received abdominal radical trachelectomy and abdominal myomectomy in the same surgical procedure. Six months after the surgery, she went for the first embryo transfer and became pregnant. At 26 weeks of pregnancy, a male baby weighing 980 g was delivered with an Apgar score of 3/5/7 by cesarean section due to chorioamnionitis. The baby has received general care in a neonatal intensive care unit for four months and weighed 4520 g when discharged.http://dx.doi.org/10.1155/2018/5623717
spellingShingle Yuji Kamei
Ai Miyoshi
Nao Wakui
Takeya Hara
Serika Kanao
Hirokazu Naoi
Hirofumi Otsuka
Takeshi Yokoi
Successful Pregnancy following Myomectomy Accompanied with Abdominal Radical Trachelectomy for an Infertile Woman with Early Cervical Cancer: A Case Report and Literature Review
Case Reports in Surgery
title Successful Pregnancy following Myomectomy Accompanied with Abdominal Radical Trachelectomy for an Infertile Woman with Early Cervical Cancer: A Case Report and Literature Review
title_full Successful Pregnancy following Myomectomy Accompanied with Abdominal Radical Trachelectomy for an Infertile Woman with Early Cervical Cancer: A Case Report and Literature Review
title_fullStr Successful Pregnancy following Myomectomy Accompanied with Abdominal Radical Trachelectomy for an Infertile Woman with Early Cervical Cancer: A Case Report and Literature Review
title_full_unstemmed Successful Pregnancy following Myomectomy Accompanied with Abdominal Radical Trachelectomy for an Infertile Woman with Early Cervical Cancer: A Case Report and Literature Review
title_short Successful Pregnancy following Myomectomy Accompanied with Abdominal Radical Trachelectomy for an Infertile Woman with Early Cervical Cancer: A Case Report and Literature Review
title_sort successful pregnancy following myomectomy accompanied with abdominal radical trachelectomy for an infertile woman with early cervical cancer a case report and literature review
url http://dx.doi.org/10.1155/2018/5623717
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