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anyone had robotic radical trachelectomy and lymphadenectomy?

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arjhen
anyone had robotic radical trachelectomy and lymphadenectomy?

Hi im just wondering if anyone had robotic  radical trachelectomy and lymphadenectomy? i am schedule on march 3rd.  im super nervous! I was diagnosed with stage 1 A.1 cancer  squamous carcinoma I had a aggressive cone biopsy my margin was my margin was clear I was referred to a gyno/oncologist. I did MRI and pet scan they both showed I may still have something either cancerous or precancerous deeper in my cervix. No spread or invasion in nearby tissues or lymph nodes..🙏🙏🙏 thank God.. I am now scheduled for robotic radical trachelectomy and lymphadenectomy on March 3rd. At first I told my doctor if we coud just do another cone but he wants to the trachelectomy to be 100% safe and cancer free and do a cerclage to preserve my fertility since I still want another baby.

what is the difference between simple trachelectomy and radical trachelectomy? im thinking that he should do the simple but he wanted to remove the problem so we wont have to worry about the cancer coming back!!  what would you do?? should I seek for second opinion?  im so confused 😭😭😭

FeelingTheFear

Hello arjhen 

Didn't want to read and run, as I can see you've not had a reply yet. I had a radical hysterectomy but for a while I was debating whether to have the radical trachelectomy instead. The difference between a simple and radical surgery is the amount of "margin" that is also cut away on either side of the organ involved. Therefore, a radical trach is going to involve the removal of some vaginal tissue beneath and around the cervix. This is the surrounding area that is nearest to your cancer and therefore potentially still have microscopic abnormalities that might one day develop into another problem to deal with. Or, then again, it might not!

From what I have read here it seems like simple surgery is for stubborn pre-cancerous cells that persist after LLETZ/cone, but once cancer is found it seems to be that radical is preferred. You could ask your surgeon why he would advise one option over the other, I did this repeatedly, and his answers helped me understand my options and the longterm probabilities in either case.

Ultimately you will have to decide on the risk/benefit ratio and make the choice to do whichever option you feel most comfortable living alongside in the longterm, and those explanations from your surgeon can help to quieten and reassure your doubting mind at 4am when you start second guessing yourself ;-) 

Feb 2020: smear = high grade dyskariosis

March 2020: biopsy = CIN3

April 2020: lletz = cervical cancer stage 1b1 (1b2 on new FIGO)

May 2020: radical hysterectomy and lymphadenectomy

March 2021: NED

Jazza
Jazza's picture

Hi arjhen

Just to add to what FeelingThe Fear has said; it my understanding that a radical operation involves removal of the pelvic lymph nodes (lymphadenectomy) whereas the simple version of the operation would not.

x

  • Feb 04:  (age 47y) Smear test normal
  • Stopped going for smears!
  • Summer 16: persistent watery yellow vaginal discharge
  • Dec 16: PMB
  • Jan 17: Hysteroscopy under GA for ?fibroids - abnormal cervix observed -multiple biopsies taken, 1B1 (1B2 on new FIGO) squamous cell cc diagnosed - confirmed by MRI/PET scans
  • Feb 17: pelvic lymphadenectomy - nodes negative, Da Vinci radical hysterectomy- close anterior margin/LVSI/PNI, restaged to 2A1 (2A1 on new FIGO)
  • Apr/May 17: 6 chemo, 25 external radio, 2 brachy
  • Apr 21:  NED.  Side effects notably hypotonic bladder since hysterectomy - ongoing ISC, unilateral lymphoedema lower abdo/groin/leg/ankle/foot

More Information

Cervical cancer