{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:34:52Z","timestamp":1747186492654,"version":"3.40.5"},"reference-count":16,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2019,5,1]],"date-time":"2019-05-01T00:00:00Z","timestamp":1556668800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2019,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Radical trachelectomy (RT) with pelvic lymphadenectomy has become an option for young patients with early invasive uterine cervical cancer who decide to maintain their fertility. However, this operative method entails a high risk for the following pregnancy due to its radicality. Therefore, RT for pregnant patients can be a challenge both for gynecologic oncologists and obstetricians.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We have performed vaginal RT for five pregnant patients with uterine cervical cancer stage 1B1 according to the method of Dargent <jats:italic>et al.<\/jats:italic> The operations were performed between 16 and 26\u2009weeks of pregnancy, and the patients were followed up carefully according to the follow\u2010up methods we reported previously.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Vaginal RT was performed for five patients without any troubles. Four of the patients continued their pregnancies until almost 34\u2009weeks or longer under our previously published follow\u2010up schedule. The pregnancy of one patient was terminated at 26\u2009weeks due to recurrence of the cancer.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Expansion of vaginal RT for pregnant patients with uterine cervical cancer could be a practical option for pregnant patients with early invasive uterine cervical cancer.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.13964","type":"journal-article","created":{"date-parts":[[2019,5,2]],"date-time":"2019-05-02T05:08:08Z","timestamp":1556773688000},"page":"1167-1172","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Obstetrical prognosis of patients who underwent vaginal radical trachelectomy during pregnancy"],"prefix":"10.1111","volume":"45","author":[{"given":"Mina","family":"Umemoto","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Sapporo Medical University  Sapporo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2851-3118","authenticated-orcid":false,"given":"Shinichi","family":"Ishioka","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Sapporo Medical University  Sapporo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuko","family":"Mizugaki","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Sapporo Medical University  Sapporo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuya","family":"Fujibe","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Sapporo Medical University  Sapporo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tasuku","family":"Mariya","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Sapporo Medical University  Sapporo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akari","family":"Kawamata","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Sapporo Medical University  Sapporo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masahito","family":"Mizuuchi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Sapporo Medical University  Sapporo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miyuki","family":"Morishita","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Sapporo Medical University  Sapporo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tsuyoshi","family":"Baba","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Sapporo Medical University  Sapporo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tsuyoshi","family":"Saito","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Sapporo Medical University  Sapporo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,5]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"Cancer Statistics in Japan. Center for Cancer Control and Infection Services National Cancer Center Japan. [Cited 19 Nov 2018]. Available from URL:http:\/\/ganjoho.jp\/pro\/statistics\/gdball.html?16%2%1"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.3322\/canjclin.33.4.194"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0142(20000415)88:8<1877::AID-CNCR17>3.0.CO;2-W"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10147-016-1059-9"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10147-013-0631-9"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10147-011-0209-3"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/IGC.0000000000001218"},{"key":"e_1_2_6_9_1","article-title":"Radical abdominal trachelectomy for 1B1 cervical cancer at 17 weeks of gestation: A case report and literature review","volume":"2014","author":"Aoki Y","year":"2014","journal-title":"Case Rep Obstet Gynecol"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2011.04.048"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10147-007-0688-4"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10147-010-0146-6"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000216015.15415.5f"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/IGC.0000000000000655"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/IGC.0b013e3181a83017"},{"key":"e_1_2_6_16_1","unstructured":"NCCN Guidelines Version 2.2018. 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