Radical vaginal trachelectomy in a patient with HIV infection

Abstract

Radical trachelectomy is a well-described procedure for the preservation of fertility in women with early-stage cervical cancer. Experience of this procedure in an HIV (human immunodeficience virus) -infected patient has not been reported. In this case, radical vaginal trachelectomy was performed in an HIV-infected patient with CD4 count of 350 cells/μl, after frozen section of the pelvic lymph nodes was performed. Frozen section of the pelvic lymph nodes was negative. Apart from a vaginal infection, the patient made good recovery with good oncological outcome. It seems, from this case, that radical vaginal trachelectomy in a patient with HIV infection is a feasible option when the immunity is reasonable.