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Recent News and Articles on the Keywords: cervical cancer + cancer + women Related to the article below (Last Update: 8/7/2008)
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Women treated for cervical cancer could still have the chance to have children thanks to a surgical technique which saves their womb.
Currently, most patients in the early stages of the disease have their womb, cervix and surrounding tissue removed to stop tumours spreading.
This reduces the chances of the cancer returning by 85 per cent over the next five years, but inevitably leaves women infertile.
However, a study of a less aggressive technique, which involves removing only the cervix, suggests it can leave women with a far better chance of conceiving a baby after treatment.
Research shows that the four-hour operation, called a trachelectomy, successfully prevents the disease from spreading while still allowing the woman to become pregnant.
Researchers at St Bartholomew's Hospital in London, who developed the procedure, say it will offer cancer sufferers of childbearing age an alternative.
More than half the 1,500 women who develop the early stages of cervical cancer, picked up by routine smear tests, are under 40.
So far, 100 British patients have undergone the cervix removal technique, mostly at Bart's and the Royal Marsden Hospital, Surrey.
A study of 30 of them who wanted children showed that nearly two-thirds became pregnant.
Nine women went on to give birth to healthy babies.
Of the 80 operations carried out at Bart's and the Royal Marsden, the cancer has returned in only two cases, said the study, published in the British Journal of Obstetrics and Gynaecology.
Professor John Shepherd, a consultant gynaecological oncologist at Bart's, who has carried out many of the trachelectomy operations, said: 'There is a potential for returning fertility by carrying out a local surgical procedure, conserving the womb and the potential for child-bearing.
'I believe it is an appropriate time to re-evaluate the need to remove the whole womb at surgery for early cervical cancers.
'The traditional treatment for cervical cancer is a radical hysterectomy or radical radiotherapy, but that of course takes away all the hope of having a baby and a family
'What we are trying to do is to conserve that.'
Doctors stress that the operation is only suitable for women who are in the early stages of the disease and who have not already had children.
Six months after surgery, women who have had the surgery are encouraged to try for a child, if they are clear of cancer.
Babies are born by Caesarean section and many are premature.
Professor Shepherd added that, because the operation is still in its early stages, it should only be offered as part of the ongoing research.
Around 3,000 women develop cervical cancer each year in the UK, making it the second most common cancer among women under 35. In 1999 it claimed 1,100 lives.
The introduction of a cervical screening programme in 1988 increased the number of women diagnosed in the early stages.
The death of Coronation Street character Alma Halliwell, played by Amanda Barrie, raised awareness of the disease earlier this year.