Background.Trachelectomy is a conservative but locally radical procedure associated with a high risk of preterm delivery.Case.A 28-year-old patie nt with cervical can-cer FIGO stage IB1was treated with la paroscopic p...Background.Trachelectomy is a conservative but locally radical procedure associated with a high risk of preterm delivery.Case.A 28-year-old patie nt with cervical can-cer FIGO stage IB1was treated with la paroscopic pelvic lymphadenectomy followed by trachelectomy.Three years later,she conceived spontaneously.In consideration of thehigh risk of preterm delivery,the cervical status was eval-uated by transvaginal ultrasonogra phy.At 16weeksges-tation,we observed the cerclage sut ure correctly placed at the level of the internal cervical os and a "neo-cervical"segment length of 1.5cm.Thereafter,serial ultrasound measurements showed preservation o f the cervical compe-tence.The patient achieved an uneve ntful pregnancy and delivered by elective cesarean section at 37weeks.Con-clusion.Transvaginal scans to evaluate the competence of the"neo-cervix"may contribute to themanagement and counseling of patients after trachelectomy.展开更多
文摘Background.Trachelectomy is a conservative but locally radical procedure associated with a high risk of preterm delivery.Case.A 28-year-old patie nt with cervical can-cer FIGO stage IB1was treated with la paroscopic pelvic lymphadenectomy followed by trachelectomy.Three years later,she conceived spontaneously.In consideration of thehigh risk of preterm delivery,the cervical status was eval-uated by transvaginal ultrasonogra phy.At 16weeksges-tation,we observed the cerclage sut ure correctly placed at the level of the internal cervical os and a "neo-cervical"segment length of 1.5cm.Thereafter,serial ultrasound measurements showed preservation o f the cervical compe-tence.The patient achieved an uneve ntful pregnancy and delivered by elective cesarean section at 37weeks.Con-clusion.Transvaginal scans to evaluate the competence of the"neo-cervix"may contribute to themanagement and counseling of patients after trachelectomy.
