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Case Reports
. 2024 Feb 14:52:101337.
doi: 10.1016/j.gore.2024.101337. eCollection 2024 Apr.

Uterine transposition in a patient with vulvar cancer

Joel Laufer  1 , Santiago Scasso  2 , Dana Kimelman  3 , Clara Olmedo  1 , Valeria Bentancor  1 , Anne Soust  1 , Gonzalo Sotero  1 , Reitan Ribeiro  4
Affiliations
Case Reports

Uterine transposition in a patient with vulvar cancer

Joel Laufer et al. Gynecol Oncol Rep. .

Abstract

Objective: To report the first uterine transposition for fertility preservation in a patient with vulvar cancer.Case: A 26-year-old nulliparous patient with stage IIIB vulvar cancer, which was resected with adequate margins and bilateral inguinofemoral lymphadenectomy.Laparoscopic transposition of the uterus to the upper abdomen, outside of the scope of radiation was performed to preserve fertility and ovarian function. After the end of radiotherapy, the uterus was repositioned into the pelvis.Main Outcome Measure: Uterine and ovarian function preservation.

Result: The patient recovered her menstrual cycles spontaneously 1 month after the reimplantation and exhibited normal variation in ovarian hormones.Twelve months after the surgery, the uterus was normal and there was no sign of recurrent disease.

Conclusion: Uterine transposition might represent a valid option for fertility preservation in women who require pelvic radiotherapy. However, studies that assess its viability, effectiveness, and safety are required.

Keywords: Fertility preservation; Pelvic radiotherapy; Uterine transposition; Vulvar cancer.

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Conflict of interest statement

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Figures

Fig. 1A
Fig. 1A
Vulvar ulcerated lesion.
Fig. 1B
Fig. 1B
Radical vulvectomy and Inguinofemoral lymph node resection.
Fig. 2A
Fig. 2A
Uterus at the epigastric level.
Fig. 2B
Fig. 2B
Sutures to secure the uterus.
Fig. 2C
Fig. 2C
Coronal and axial section of the pelvis with the radiation fields.
Fig. 2D
Fig. 2D
Uterine adherences to anterior abdominal wall.
Fig. 2E
Fig. 2E
Uterine reposition and uterine cervix.
Fig. 3A
Fig. 3A
Hysteroscopy.
Fig. 3B
Fig. 3B
Collection on the left side of the vaginal suture and vaginal derangement.
See this image and copyright information in PMC

References

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