First case of pregnancy after radical trachelectomy and pelvic irradiation

Background. Invasive carcinoma of the cenix above stage IA1 is usually trea ted by radical hysterectomy and/or radiotherapy, leading to definitive ster ility. Case report. We report the case of a young patient with stage IB1 carcinoma of the cervix treated in June 1995 by radical trachelectomy (according to the technique described by Dargent) and adjuvant brachy + teletherapy. A ho rmonal replacement of "menopause" was prescribed. One year later, she becam e pregnant and at 27 weeks gestation gave birth to a healthy child by cesar ean section. Conclusion. Radical trachelectomy is one of the most recent therapeutic ste ps forward in the treatment of early stage invasive cervical carcinoma, whi ch can surely be treated in some cases preserving child-bearing potential. (C) 1999 Academic Press.