Minimization of curative surgery for treatment of early cervical cancer: a review.

Journal: Japanese journal of clinical oncology
Published Date: Apr 16, 2015

Abstract

Surgery is effective and useful for curative treatment of patients with early invasive cervical cancer, yet minimization of surgical procedures provides many additional advantages for patients. Because the mean age of patients diagnosed with cervical precancer and invasive cancer has been decreasing, the need for minimization of surgery to reduce disruption of fertility is increasing. Trachelectomy is an innovative procedure for young patients with invasive cancer. Minimally invasive procedures are increasingly implemented in the treatment of patients with early cervical cancer, such as laparoscopic/robotic surgery and sentinel lymph node navigation. The use of modified radical hysterectomy may not only be curative but also minimally invasive for Stage IA2-IB1 patients with a tumor size <2 cm in diameter. Here, we have summarized and discussed the minimally invasive procedures for the treatment of patients with early cervical cancer.

Authors

  • Takahide Arimoto
    Department of Obstetrics and Gynecology, Faculty of Medicine, The University of Tokyo, Tokyo.
  • Kei Kawana
    Department of Obstetrics and Gynecology, Faculty of Medicine, The University of Tokyo, Tokyo kkawana-tky@umin.org.
  • Katsuyuki Adachi
    Department of Obstetrics and Gynecology, Faculty of Medicine, The University of Tokyo, Tokyo.
  • Yuji Ikeda
    Department of Internal Medicine, Division of Nephrology Saga University Hospital Saga Japan.
  • Kazunori Nagasaka
    Department of Obstetrics and Gynecology, Faculty of Medicine, The University of Tokyo, Tokyo.
  • Tetsushi Tsuruga
    Department of Obstetrics and Gynecology, Faculty of Medicine, The University of Tokyo, Tokyo.
  • Aki Yamashita
    Department of Obstetrics and Gynecology, Faculty of Medicine, The University of Tokyo, Tokyo.
  • Katsutoshi Oda
    Department of Obstetrics and Gynecology, Faculty of Medicine, The University of Tokyo, Tokyo.
  • Mitsuya Ishikawa
    Department of Gynecology, National Cancer Center Hospital, Tokyo, Japan.
  • Takahiro Kasamatsu
    Department of Obstetrics and Gynecology, Tokyo Metropolitan Bokutoh Hospital, Tokyo.
  • Takashi Onda
    Department of Obstetrics and Gynecology, Kitasato University School of Medicine, Sagamihara.
  • Ikuo Konishi
    Department of Gynecology and Obstetrics, Faculty of Medicine, Kyoto University, Kyoto.
  • Hiroyuki Yoshikawa
    Department of Obstetrics and Gynecology, Faculty of Medicine, University of Tsukuba, Tsukuba.
  • Nobuo Yaegashi
    Department of Obstetrics and Gynecology, Tohoku University School of Medicine, Sendai, Japan.

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