Oncofertility in the setting of advanced cervical cancer - A case report.
- Author(s): Gordon, Catherine
- Carmichael, Joseph C
- Tewari, Krishnansu S
- et al.
Published Web Locationhttps://doi.org/10.1016/j.gore.2018.03.001
Objective:To consider fertility options in women with advanced cervical cancer. Design:Case report. Setting:Large tertiary care center. Patient:A 30-year-old nulligravida woman diagnosed with FIGO Stage IBI squamous cell carcinoma of the cervix that had metastasized to a pelvic lymph node. Interventions:Robotic 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 measures:Cervical cancer remission, live birth from surrogate pregnancy. Results:33-year-old woman in her third year of remission from advanced cervical cancer with healthy twin girls. Conclusions:Fertility 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.