Abstract :

Background: For women with early cervical cancer who wish to preserve their fertility, radical trachelectomy is the recommended procedure. More than 40% of all instances of cervical cancer occur in women of reproductive age, resulting in a major increase in the frequency of this surgery. Even though cervical cancer is common in places with few resources, this procedure is rarely mentioned.

Case presentation: Para 4 Living 1, a 36-year-old female, was examined and cared for at our facility for one year. Her major concerns were six years of infertility and repeated fetal loss due to recurrent preeclampsia. During her reproductive examination, she was also screened for cervical cancer, which found the disease’s early stages (IB1). Her biopsy confirmed grade 1 squamous cell carcinoma. To preserve her fertility, she had radical trachelectomy, bilateral pelvic lymph node dissection, and transabdominal placement of cervical cerclage. This is among rare reports of a radical trachelectomy as a fertility-preserving treatment for early cervical cancer in low-resource settings.

Conclusion: Radical trachelectomy with pelvic lymphadenectomy is an oncologically safe option for preserving fertility that may be considered in resource-limited areas, particularly for women with a strong desire to have babies.