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Less radical surgery ?
• Review of rate of parametrial involvement if N‐, <2cm, no LVSI:
Gynecol oncol 2014
• 3 on going trials
– ConCerv (Shmeler): cohorte with less radical surgery, 25/100
– SHAPE (Plante): randomization radical vs non radical, 700 pts
– GOG 278 (Covens): quality of life after non radical surgery, 200 to 600 pts
0.6% (Uzan 2009, Schmeler 2011)
Clinical recommendation radical trachelectomy for fertility preservation in patients with early-stage cervical cancer. Int Gyn Cancer, Schneider et al 2012
• Review VRT‐ART
• If < 2 cm, Recurrence rate 3‐6%
• Death rate 2‐5%
• Same fertility
• Risk of preterm delivery RR=2‐3
• More info on VRT / ART
• >2cm, chemo and RT: option but limited experience
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