Oncofertility in the setting of advanced cervical cancer - A case report.
Publication Title
Gynecol Oncol Rep
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.
Area of Special Interest
Cancer
Area of Special Interest
Women & Children
Specialty/Research Institute
Oncology
Specialty/Research Institute
Obstetrics & Gynecology
