Title

Oncofertility in the setting of advanced cervical cancer - A case report.

Document Type

Article

Publication Date

5-1-2018

Keywords

Cervical cancer; In vitro fertilization; Oncofertility; Radical trachelectomy

Abstract

Objective: To consider fertility options in women with advanced cervical cancer.

Design: Case report.

Setting: Large tertiary care center.

Patient: A 30-year-old nulligravida woman diagnosed with FIGO Stage IB

Interventions: Robotic radical trachelectomy with pelvic lymphadenectomy and cerclage placement, followed by ovarian stimulation with oocyte retrieval and in vitro fertilization. Subsequent therapy included adjuvant chemoradiation and embryo transfer to a surrogate mother.

Main outcome measures: Cervical cancer remission, live birth from surrogate pregnancy.

Results: 33-year-old woman in her third year of remission from advanced cervical cancer with healthy twin girls.

Conclusions: Fertility options may exist for patients even in the setting of metastatic cervical cancer. Early involvement of a reproductive endocrinologist is imperative. This case emphasizes the importance of cross-specialty communication.

Clinical Institute

Cancer

Clinical Institute

Women & Children

Department

Oncology

Department

Obstetrics & Gynecology

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