TY - JOUR T1 - Oncological and Reproductive Outcomes of Abdominal Radical Trachelectomy JF - Anticancer Research JO - Anticancer Res SP - 5939 LP - 5947 DO - 10.21873/anticanres.14615 VL - 40 IS - 10 AU - AI YOSHINO AU - EIJI KOBAYASHI AU - MICHIKO KODAMA AU - KAE HASHIMOTO AU - YUTAKA UEDA AU - KENJIRO SAWADA AU - TAKUJI TOMIMATSU AU - TADASHI KIMURA Y1 - 2020/10/01 UR - http://ar.iiarjournals.org/content/40/10/5939.abstract N2 - Background/Aim: There is an increasing demand for preserving the fertility of young women impacted with early-stage cervical cancer. The aim of this study is to evaluate the oncological and reproductive outcomes of abdominal radical trachelectomy (ART). Patients and Methods: We retrospectively reviewed patients with FIGO stageIA2-IB1 cervical cancer who underwent ART from 2007 to 2018. We also compared the oncological prognosis between the patients who underwent ART and radical hysterectomy (RH). Results: A total of 42 patients underwent ART. During median follow-up 62.5 months, there were 4 (9.5%) recurrences and 1 (2.4%) death. As for tumors ≤2 cm, the 5-year recurrence-free survival (RFS) rate and overall survival (OS) rate for patients who underwent ART was similar to those who underwent RH (89.8% vs. 92.7%, p=0.42 and 97.3% vs. 95.0%, p=0.44, respectively). Nineteen patients attempted to conceive and seven of them were successful. There was one case of a first-trimester miscarriage, two cases of preterm delivery, three cases of full-term delivery and one ongoing pregnancy. Conclusion: ART could be a feasible alternative to RH for patients with tumors ≤2 cm with comparable oncological outcome. ER -