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I should know this.... I should know this....

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  #1  
Unread 07-29-2004, 06:00 PM
I should know this....

but I don't. I recently found out my daughter-in-law has been diagnosed with a grade 4 precancerous cervix...? My question is...in the event that her cervix has to be removed, can she still have babies?
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  #2  
Unread 07-29-2004, 06:52 PM
I should know this....

(((Annette))) I wouldn't expect anyone to necessarily know the answer to this. It's a complicated scenario.

The cervix is the lower end of the uterus. It is possible to remove the uterus and leave the cervix (supracervical hysterectomy). It's also possible to remove the cervix and leave the uterus (trachelectomy). The trachelectomy is a newer procedure in the United States, but it is allowing for women to maintain their fertility in the case of early-stage cervical cancer. Once the cervix is removed, the lower end of the uterus is stitched to form a sort of artificial cervix (called a circlage).

The terminology you are using (grade 4 precancerous) is older terminology (some docs still use it) and so I am less familiar with it. If memory serves me correctly, a grade 4 dysplasia is the same thing as carcinoma-in-situ (CIN III/CIS) or HGSIL--which are the newer terms. If indeed she is still in a precancerous state, well, most chances are that she can be treated with a cold knife cone biopsy or LEEP. These procedures remove the abnormal cells from the inside of the cervix, but allow the cervix to remain. The cervix then heals itself and in most cases remains viable for successful pregnancies.

I had a cone biopsy at age 24 and carried several pregnancies to term after that procedure.

Now, if for some reason, it is determined that she has an early-stage cancer, then the trachelectomy might be an option for her. She might like to consider requesting a referral to see a gynecologic oncologist. They are the experts when it comes to female cancers and precancers and they know all the current treatment techniques and surgical procedures.

I wish your DIL well. Please invite her to join us if she would like support in her current situation.

  #3  
Unread 07-29-2004, 07:13 PM
Thank You!

I have told her about this site and how wonderful the women are...and how informative.
She meets with her GYN next week to see what her options are. She is worried about not having more kids...she has a son from a previous relationship and wants 2 more. She is such a special person to me, it just breaks my heart to see her go through anything like this. She's only 22.

Again, Thank you so much for responding to my question.
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  #4  
Unread 07-30-2004, 07:51 AM
I should know this....

Every thing that Jeanine said is right as well as make sure that your DIL is being treated by a gyn/onc. They are the best when it comes to gyn cancers or precancers.

God Bless you both
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