Back to Search Start Over

Reproductive, obstetrical and oncological outcomes of fertility-sparing treatment for cervical cancer according to the FIGO 2018 staging system: A systematic review.

Authors :
Taliento, Cristina
Scutiero, Gennaro
Battello, Ginevra
Sala, Alessia
Pellecchia, Giulia
Trozzi, Rita
Arcieri, Martina
Pavone, Matteo
Bizzarri, Nicolò
Greco, Pantaleo
Driul, Lorenza
Amant, Frédéric
Fagotti, Anna
Scambia, Giovanni
Vizzielli, Giuseppe
Restaino, Stefano
Source :
European Journal of Surgical Oncology; Jan2025, Vol. 51 Issue 1, pN.PAG-N.PAG, 1p
Publication Year :
2025

Abstract

We assessed reproductive, obstetrical, and oncological outcomes in patients who underwent fertility-sparing treatment by including studies that adhere to the FIGO 2018 staging system. Data on recurrence, mortality, pregnancy rate, live birth rate, and preterm delivery rate were collected. In patients with stages IA1, IA2, and IB1, the recurrence rate was 4.7 % and the death rate was 0.6 %. For patients with stage IB2, the recurrence rate was 12.1 % and the death rate was 3.2 %. Pregnancy rates for conization/simple trachelectomy and radical trachelectomy were 61.7 % and 50 %, respectively. A higher live birth rate (84.4 % vs 58.6 %), and lower preterm birth rate (18.3 % vs 33.3 %) were observed in patients undergoing conization compared to radical trachelectomy. We found a recurrence rate of 4.7 % in patients with stage less than or equal to IB1 and 12.1 % in those with stage IB2. A higher rate of preterm delivery was observed in patients who underwent radical trachelectomy. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
07487983
Volume :
51
Issue :
1
Database :
Supplemental Index
Journal :
European Journal of Surgical Oncology
Publication Type :
Academic Journal
Accession number :
181648778
Full Text :
https://doi.org/10.1016/j.ejso.2024.109359