A young woman treated for cancer of the cervix by surgery recently gave birth to a small Lovea. A possible future pregnancy thanks to a new surgical technique still unknown.
Because of the discovery of cervical cancer, Claire thought she never had children. In fact, if cervical cancer is diagnosed a little late and exceeds a certain extent, local treatment of the cervix is theoretically no longer possible and the uterus is usually completely removed with the cervix. (total hysterectomy), forever compromising the possibilities of pregnancy. Fortunately, this was not the case thanks to Montpellier University Hospital.
Cancer at risk
This was, however, what had, moreover, been recommended initially by the gynecologist who had discovered cervical cancer, cancer whose extension exceeded the possibilities of a simple local excision, the "conisation".
Fortunately, Claire was sent to the University Hospital of Montpellier to practice a technique still uncommon 2 years ago, but which preserves the chances of pregnancy.
A more limited operation
After a detailed assessment that showed that cancer extension was limited and allowed to remove only part of the uterus, it was carried out a new type of operation, a first for the time at the hospital from Montpellier.
This is called a "tracheectomy" and involves removing the cervix, the upper vagina and the lymph nodes around the cervix to ensure that they are not affected.
Pregnancy under surveillance
To benefit, the woman must be young, have a limited extension of her cancer (less than 2 cm), want children and agree to be particularly monitored during future pregnancies.
The risk of miscarriage and ectopic pregnancy would be multiplied by 10.
A poorly known possibility
After her recovery, the mother was able to give birth to a small Lovéa. According to Dr. Gauthier Rathat, the surgeon interviewed by our colleagues at France Bleu Hérault, "People need to know that this technique exists: cervical cancer is not equal to cancer of the entire uterus.
There are other possibilities than removing the uterus! "
A cancer that kills 1000 women each year
With about 3,000 new cases and 1,100 deaths per year according to Public Health France, cervical cancer represents the 12th leading cause of cancer and the 10th leading cause of cancer death among women in France.
For screening and management at a very early stage, it is recommended to perform a smear every three years, but it can be prevented by vaccinating women against human papillomavirus (HPV) in adolescence.