سرطان عنق الرحم الغدي في الموضع في المريضات في سن الإنجاب اللواتي يرغبن في حمل مستقبلي بعد الاستئصال المخروطي بهوامش سلبية

References

DOI: 10.1097/AOG.0000000000003761

For patients of reproductive age who desire future pregnancy, for whom negative margin status on conization has been achieved, and who are willing and able to adhere to surveillance recommendations, fertility-sparing management with a conization procedure is acceptable (AII).

For patients in whom negative margins cannot be achieved after multiple excisional procedures, hysterectomy is recommended, and fertility-sparing management should be pursued only in select cases and after a frank discussion about the significantly increased risk of persistent or recurrent AIS and cancer.

Data are lacking on outcomes after radical trachelectomy for treatment of persistent AIS, but it could be considered as an alternative for patients who strongly desire future fertility.