TY - JOUR
AU - Cibula, D.
AB -  Objectives Fertility sparing procedures in patients with cervical cancer stage IB1 aims at the removal of a part of the uterine cervix with the tumor and adequate resection of the parametria and cranial part of the vagina. The tumor must be removed with the clear cranial margin of healthy tissue, however, maximum length of tumor‐free cervix must be preserved for future pregnancy. It's difficult for surgeon to determine the optimal level of excision. The aim of this study was to evaluate the ability of the ultrasound to identify intra‐operatively the cranial tumor margin. Methods Together 15 women with histologicaly confirmed cervical cancer stage IB1‐IB2 referred to radical hysterectomy, were enrolled in the study. In all patients was the tumor reasonably visible by the ultrasound. Intra‐operative transvaginal ultrasound was used to localize the cranial tumor margin, which was marked intra‐operatively under ultrasound guidance with the permanent stitch. Thereafter, the distance between the cranial aspect of the tumor and the stitch was evaluated by pathologist. Results Pathology report showed mean distance between the stitch and the tumor 1.5 millimeters (SD 1.16, range 0.09 to 5 mm). Correlation has been found between volume of the tumor and tumor‐stitch distance (Pearson correlation 
TI - OC24.04: Intra‐operative ultrasound in fertility sparing procedures for cervical cancer
JF - Ultrasound in Obstetrics & Gynecology
DO - 10.1002/uog.11379
DA - 2012-09-01
UR - https://www.deepdyve.com/lp/wiley/oc24-04-intra-operative-ultrasound-in-fertility-sparing-procedures-for-okL1ls6NXV
SP - 51
EP - 51
VL - 40
IS - S1
DP - DeepDyve
ER -