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Preserving Fertility in Invasive Cervical Adenocarcinoma by Abdominal Radical Trachelectomy and Pelvic Lymphadenectomy

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A 32-year-old female was diagnosed by loop electrosurgical excision procedure with adenocarcinoma in situ and a focus suspicious for positive lympho-vascular invasion. An abdominal radical trachelectomy was performed to preserve her uterus and fertility. The patient recovered without complications. The patient has had one year of follow-up without any evidences of recurrence. At present, the patient is not actively trying to become pregnant. We concluded that abdominal radical trachelectomy may be a surgical option for early stage cervical cancer treatment in young women who wish to preserve fertility.

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