FERTIlity Study: Conservative Management of Early Cervical Cancer

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Professor Dr. Jiří Sláma to discuss the FERTIlity study. Dr. Sláma works as the head of the Oncogynecology Department and Colposcopy Unit at the Department of Gynecology and Obstetrics at the General University Hospital and the 1st Medical Faculty of Charles University in Prague. His main professional interest is the prevention and treatment of cervical cancer and surgical management of gynecological malignancies.

Highlights:

• Non-radical cervical procedures (conization and simple vaginal trachelectomy) are not associated with a higher risk of recurrence in patients with HPV-associated tumors <2 cm, regardless of LVSI.
• Sentinel node biopsy should be an integral part of fertility-sparing cervical cancer management.
• Tumor size >2 cm is a significant risk factor for recurrence.
• Only half of the women tried to conceive during the long follow-up period after fertility-sparing surgery.
• The overall fertility rate was 63% in the non-radically operated group, whereas it was 26% in women after radical trachelectomy.