Fertility-Sparing Surgery for Early-Stage Uterine Cervical Cancer

  • Elisa Moreno-Palacios
  • Claudia Blancafort
  • Maria Lombarte
  • Ignacio Zapardiel


Cervical cancer is the second most common gynecological cancer, and approximately 45% are diagnosed in women younger than 40 years. In Western societies, in which women tend to delay childbearing and cervical cancer incidence peaks within the third decade of life, fertility-sparing treatment options have become a major issue.

In recent years, radical trachelectomy with pelvic lymphadenectomy has become an option for young patients with early-stage minimally invasive cervical cancers (stages IB1 or less) who wish to conserve their uterus, in order to preserve their fertility. Multiple studies have demonstrated the safety and feasibility of radical trachelectomy, as well as acceptable obstetrical outcomes. The aim of this chapter is to answer the main issues on this topic, such as surgical techniques, patient selection, and oncological and obstetric outcomes, according to the evidence published to date.


Fertility-sparing surgery Uterine cancer surgery and fertility sparing Early-stage uterine cervical cancer Cervical cancer Cervical cancer incidence 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Elisa Moreno-Palacios
    • 1
  • Claudia Blancafort
    • 2
  • Maria Lombarte
    • 3
  • Ignacio Zapardiel
    • 4
  1. 1.Department of GynecologyHospital Universitario La PazMadridSpain
  2. 2.Department of GynecologyHospital Universitari Quiron-DexeusBarcelonaSpain
  3. 3.Gynecologic Oncology UnitLa Paz University HospitalMadridSpain
  4. 4.Gynecologic Oncology UnitLa Paz University Hospital-IdiPAZMadridSpain

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