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Cervical adenocarinoma - fertility preservation?

Posts: 2
Joined: Jan 2013

Does anyone have experience with Dr Pedro Ramirez at MD Anderson in Houston, Tx. or Dr. Peter Lim at Center of Hope in Reno, Nv.   My daughter has been diagnosed with cervical adenocarcinoma.  So far, indications lean toward maybe stage IIB (PET was clear - no sign of invasion into pelvic wall - awaiting lymph node biopsy).  The only concerning thing is the tumor is quite large (MRI and PET indicate 3-4 CM but GYN Oncol says it is more like 7 cm) and pushing into the vagina.  My daughter is quite young (26) and would like to have more children.  She has read about the radical trachelectomy procedure to spare her fertility, but current GYN Oncol says tumor is too large and is recommending radiation and chemo.    Dr. Ramirez has not seen her yet (we do not live near Texas so have to be sure it is a good decision to travel there) but via correspondence has indicated she might be a candidate for adjunct chemo to shrink the tumor then the radical trachelectomy.  Of course, until he sees her he can not say for sure this is the best course. 

I am curious if anyone else has been through this.  Most of the women I have read about with this type of cancer are older and went with the hysterectomy/radiation/chemo route. 

Appreciate any experince/information you can provide.

Posts: 435
Joined: Jan 2012

I have heard of this procedure but this is usually reserved for very early cancer diagnosis.  Egg harvest would be a better option for future serogate.  This is a pretty aggressive cancer and my recommendation is to start treatment sooner rather than later.  Getting a second opinion would not hurt but remember time is of the essence.  Good luck to you and your daughter.  I pray she will be healed.

Posts: 2
Joined: Jan 2013

Thank you for your response.  As it turns out, she will be undergoing radiation & chemo as some lymph nodes are infected.  I appreciate your information.  I have found this forum to be very helpful.

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