Oncofertility in the setting of advanced cervical cancer - A case report.

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    • Publication Information:
      eScholarship, University of California, 2018.
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    • Abstract:
      ObjectiveTo consider fertility options in women with advanced cervical cancer.DesignCase report.SettingLarge tertiary care center.PatientA 30-year-old nulligravida woman diagnosed with FIGO Stage IBI squamous cell carcinoma of the cervix that had metastasized to a pelvic lymph node.InterventionsRobotic radical trachelectomy with pelvic lymphadenectomy and cerclage placement, followed by ovarian stimulation with oocyte retrieval and in vitro fertilization. Subsequent therapy included adjuvant chemoradiation and embryo transfer to a surrogate mother.Main outcome measuresCervical cancer remission, live birth from surrogate pregnancy.Results33-year-old woman in her third year of remission from advanced cervical cancer with healthy twin girls.ConclusionsFertility options may exist for patients even in the setting of metastatic cervical cancer. Early involvement of a reproductive endocrinologist is imperative. This case emphasizes the importance of cross-specialty communication.
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