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2-4 cm, N-
French standard:
Radical hysterectomy (RH) or brachytherapy-RH (5 year survival rate 95% Uzan et al 2012)
Option to spare fertility:
Neoadjuvant chemotherapy (NAC) trachelectomy / conization
Gynecol oncol 2014
• 28 patients <35y, > 2 cm or >50% stroma infiltration
• Dose‐dense NAC (cisplatine‐ifo for SCC/ cisplatin‐doxo for ADK)
• Pelvic laparoscopy and simple trachelectomy
• Median FU 42 months
• 10 lost fertility
• 10/20 pregnant, 10 babies/ 8 wo (4 preterm)
• 20% recurred (2/4 DCD)
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PRECONGRESS COURSE 11 I VIENNA, AUSTRIA – 23 JUNE 2019 139
