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Gynecology
Diagnosis
Cervix
Treatment-Related Conditions
Posttrachelectomy Appearances
Posttrachelectomy Appearances
Jeffrey Dee Olpin, MD; Maryam Rezvani, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          TERMINOLOGY

          • Definitions

            • Resection of cervix with end-to-end anastomosis of uterine corpus and vagina

          IMAGING

          • General Features

            • MR Findings

              • Imaging Recommendations

                DIFFERENTIAL DIAGNOSIS

                  CLINICAL ISSUES

                  • Presentation

                    • Natural History & Prognosis

                      DIAGNOSTIC CHECKLIST

                      • Image Interpretation Pearls

                        Selected References

                        1. Jumelle C et al: MR imaging in the management of trachelectomy. Diagn Interv Imaging. 97(1):129-32, 2016
                        2. Bourgioti C et al: MRI findings before and after abdominal radical trachelectomy (ART) for cervical cancer: a prospective study and review of the literature. Clin Radiol. 69(7):678-86, 2014
                        3. Marchiolè P et al: Pre- and post-operative work-up in patients affected by early cervical cancer and eligible for fertility-sparing treatment: role of MRI with saline hydrocolpos. Abdom Imaging. 35(3):271-9, 2010
                        4. Dursun P et al: Radical vaginal trachelectomy (Dargent's operation): a critical review of the literature. Eur J Surg Oncol. 33(8):933-41, 2007
                        5. Sonoda Y et al: Radical vaginal trachelectomy and laparoscopic pelvic lymphadenectomy for early-stage cervical cancer in patients who desire to preserve fertility. Gynecol Oncol. 104(2 Suppl):50-5, 2007
                        6. Abu-Rustum NR et al: Fertility-sparing radical abdominal trachelectomy for cervical carcinoma: technique and review of the literature. Gynecol Oncol. 103(3):807-13, 2006
                        7. Hatami M et al: Preserving fertility in invasive cervical adenocarcinoma by abdominal radical trachelectomy and pelvic lymphadenectomy. Arch Iran Med. 9(4):413-6, 2006
                        8. Hertel H et al: Radical vaginal trachelectomy (RVT) combined with laparoscopic pelvic lymphadenectomy: prospective multicenter study of 100 patients with early cervical cancer. Gynecol Oncol. 103(2):506-11, 2006
                        9. Schlaerth AC et al: Role of minimally invasive surgery in gynecologic cancers. Oncologist. 11(8):895-901, 2006
                        10. Shepherd JH et al: Radical vaginal trachelectomy as a fertility-sparing procedure in women with early-stage cervical cancer-cumulative pregnancy rate in a series of 123 women. BJOG. 113(6):719-24, 2006
                        11. Plante M et al: Vaginal radical trachelectomy: a valuable fertility-preserving option in the management of early-stage cervical cancer. A series of 50 pregnancies and review of the literature. Gynecol Oncol. 98(1):3-10, 2005
                        12. Sahdev A et al: MR imaging appearances of the female pelvis after trachelectomy. Radiographics. 25(1):41-52, 2005
                        13. Ungar L et al: Abdominal radical trachelectomy: a fertility-preserving option for women with early cervical cancer. BJOG. 112(3):366-9, 2005
                        14. Plante M et al: Vaginal radical trachelectomy: an oncologically safe fertility-preserving surgery. An updated series of 72 cases and review of the literature. Gynecol Oncol. 94(3):614-23, 2004
                        15. Burnett AF et al: Radical vaginal trachelectomy and pelvic lymphadenectomy for preservation of fertility in early cervical carcinoma. Gynecol Oncol. 88(3):419-23, 2003
                        16. Rodriguez M et al: Radical abdominal trachelectomy and pelvic lymphadenectomy with uterine conservation and subsequent pregnancy in the treatment of early invasive cervical cancer. Am J Obstet Gynecol. 185(2):370-4, 2001
                        17. Dargent D et al: Laparoscopic vaginal radical trachelectomy: a treatment to preserve the fertility of cervical carcinoma patients. Cancer. 88(8):1877-82, 2000
                        18. Covens A et al: Is radical trachelectomy a safe alternative to radical hysterectomy for patients with stage IA-B carcinoma of the cervix? Cancer. 86(11):2273-9, 1999
                        Related Anatomy
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                        Related Differential Diagnoses
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                        References
                        Tables

                        Tables

                        KEY FACTS

                        • Terminology

                          • Imaging

                            • Top Differential Diagnoses

                              • Clinical Issues

                                TERMINOLOGY

                                • Definitions

                                  • Resection of cervix with end-to-end anastomosis of uterine corpus and vagina

                                IMAGING

                                • General Features

                                  • MR Findings

                                    • Imaging Recommendations

                                      DIFFERENTIAL DIAGNOSIS

                                        CLINICAL ISSUES

                                        • Presentation

                                          • Natural History & Prognosis

                                            DIAGNOSTIC CHECKLIST

                                            • Image Interpretation Pearls

                                              Selected References

                                              1. Jumelle C et al: MR imaging in the management of trachelectomy. Diagn Interv Imaging. 97(1):129-32, 2016
                                              2. Bourgioti C et al: MRI findings before and after abdominal radical trachelectomy (ART) for cervical cancer: a prospective study and review of the literature. Clin Radiol. 69(7):678-86, 2014
                                              3. Marchiolè P et al: Pre- and post-operative work-up in patients affected by early cervical cancer and eligible for fertility-sparing treatment: role of MRI with saline hydrocolpos. Abdom Imaging. 35(3):271-9, 2010
                                              4. Dursun P et al: Radical vaginal trachelectomy (Dargent's operation): a critical review of the literature. Eur J Surg Oncol. 33(8):933-41, 2007
                                              5. Sonoda Y et al: Radical vaginal trachelectomy and laparoscopic pelvic lymphadenectomy for early-stage cervical cancer in patients who desire to preserve fertility. Gynecol Oncol. 104(2 Suppl):50-5, 2007
                                              6. Abu-Rustum NR et al: Fertility-sparing radical abdominal trachelectomy for cervical carcinoma: technique and review of the literature. Gynecol Oncol. 103(3):807-13, 2006
                                              7. Hatami M et al: Preserving fertility in invasive cervical adenocarcinoma by abdominal radical trachelectomy and pelvic lymphadenectomy. Arch Iran Med. 9(4):413-6, 2006
                                              8. Hertel H et al: Radical vaginal trachelectomy (RVT) combined with laparoscopic pelvic lymphadenectomy: prospective multicenter study of 100 patients with early cervical cancer. Gynecol Oncol. 103(2):506-11, 2006
                                              9. Schlaerth AC et al: Role of minimally invasive surgery in gynecologic cancers. Oncologist. 11(8):895-901, 2006
                                              10. Shepherd JH et al: Radical vaginal trachelectomy as a fertility-sparing procedure in women with early-stage cervical cancer-cumulative pregnancy rate in a series of 123 women. BJOG. 113(6):719-24, 2006
                                              11. Plante M et al: Vaginal radical trachelectomy: a valuable fertility-preserving option in the management of early-stage cervical cancer. A series of 50 pregnancies and review of the literature. Gynecol Oncol. 98(1):3-10, 2005
                                              12. Sahdev A et al: MR imaging appearances of the female pelvis after trachelectomy. Radiographics. 25(1):41-52, 2005
                                              13. Ungar L et al: Abdominal radical trachelectomy: a fertility-preserving option for women with early cervical cancer. BJOG. 112(3):366-9, 2005
                                              14. Plante M et al: Vaginal radical trachelectomy: an oncologically safe fertility-preserving surgery. An updated series of 72 cases and review of the literature. Gynecol Oncol. 94(3):614-23, 2004
                                              15. Burnett AF et al: Radical vaginal trachelectomy and pelvic lymphadenectomy for preservation of fertility in early cervical carcinoma. Gynecol Oncol. 88(3):419-23, 2003
                                              16. Rodriguez M et al: Radical abdominal trachelectomy and pelvic lymphadenectomy with uterine conservation and subsequent pregnancy in the treatment of early invasive cervical cancer. Am J Obstet Gynecol. 185(2):370-4, 2001
                                              17. Dargent D et al: Laparoscopic vaginal radical trachelectomy: a treatment to preserve the fertility of cervical carcinoma patients. Cancer. 88(8):1877-82, 2000
                                              18. Covens A et al: Is radical trachelectomy a safe alternative to radical hysterectomy for patients with stage IA-B carcinoma of the cervix? Cancer. 86(11):2273-9, 1999