Laparoscopic Ovarian Transposition Before Concurrent Chemoradiation in Cervical Cancer 1B1 with Pelvic Lymph Node Metastasis

Abstract

Abstract

Background:

Oncofertility is an emerging field that addresses the fertility and reproductive needs of patients who have cancer.

Case:

A 28-year-old patient with IB1 squamous-cell cervical cancer with pelvic node metastasis underwent laparoscopic ovarian transposition and bilateral pelvic lymph node dissection followed by concurrent chemoradiation.

Results:

At a 6-year follow-up, the cancer had not metastasized or recurred and this patient's ovarian function was well-maintained.

Conclusions:

It is important to transpose and safeguard the ovaries when radiotherapy is planned in early stages of squamous-cell cervical cancer, even with lymph node metastasis. Laparoscopic ovarian transposition is an effective and simple technique for avoiding early menopause and preserving the fertility potential of patients. (J GYNECOL SURG 34:171)