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Radical Trachelectomy for Early Stage Cervical Cancer

  • Gynecologic Cancers (LA Cantrell, Section Editor)
  • Published:
Current Treatment Options in Oncology Aims and scope Submit manuscript

Opinion Statement

In patients with early-stage cervical cancer, radical hysterectomy and pelvic lymphadenectomy is the gold standard. However, this disease commonly affects women of childbearing age; thus an option to spare fertility is ideal. This option came to fruition in the early 90s when the Dargent procedure or radical trachelectomy was first reported. The procedure has subsequently been modified as technology has improved and now may be performed via minimally invasive techniques. Additionally, with the advent of the sentinel lymph node procedure, the morbidity in this usually young patient population has continued to improve. There is a multitude of data to show that oncologic outcomes, concerning recurrence and mortality, are comparable to radical hysterectomy, as well as obstetrical outcomes are favorable. Data to support its acceptance within the gynecologic oncology community has led to radical trachelectomy being implemented into governing body guidelines and should be offered to appropriate candidates with early-stage cervical cancer who wish to preserve fertility.

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References and Recommending Reading

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Authors and Affiliations

  1. Gynecologic Oncology Division, Cleveland Clinic, Ob/Gyn and Women’s Health Institute, 9500 Euclid Avenue, Desk A81, Cleveland, OH, 44195, USA

    Anthony Costales MD & Chad Michener MD

  2. Instituto Gyneco-Oncólogico, 252 San Jorge St, San Juan, PR, 00914, USA

    Pedro F. Escobar-Rodriguez MD, MHL

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  1. Anthony Costales MD
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  3. Pedro F. Escobar-Rodriguez MD, MHL
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Correspondence to Anthony Costales MD.

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This article is part of the Topical Collection on Gynecologic Cancers

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Costales, A., Michener, C. & Escobar-Rodriguez, P.F. Radical Trachelectomy for Early Stage Cervical Cancer. Curr. Treat. Options in Oncol. 19, 75 (2018). https://doi.org/10.1007/s11864-018-0591-4

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