After one year following cervical conization, the lesions showed signs of spreading, prompting 45-year-old Hong to seek treatment at Tam Anh General Hospital, Ho Chi Minh City. Master of Science, Doctor Ngo Thi Binh Lua, from the Obstetrics and Gynecology Center, diagnosed progressive precancerous lesions. Given that Hong had already given birth to two children, doctors decided on a total laparoscopic hysterectomy with bilateral salpingectomy to prevent cancer, preserving both ovaries to maintain endocrine function.

The surgical team observed a clear abdominal cavity, with no signs of damage or metastasis. The uterus was enlarged compared to its anatomical structure, but the lesional cells had not invaded adjacent organs.

The patient recovered well post-surgery. Pathological results confirmed precancerous lesions. Hong does not require additional treatment, only regular follow-up.

Doctor Lua (second from left) and the team performing a laparoscopic hysterectomy for Hong. *Photo: Tam Anh General Hospital*

Cervical cancer often progresses silently. When detected late, many cases are already at an invasive stage, making treatment complex and less effective. Globocan 2022 data reported approximately 4,600 new cervical cancer cases and over 2,500 deaths in Vietnam.

Doctor Lua stated that cervical cancer is primarily linked to HPV, with types 16 and 18 accounting for most cases. She advises women to get the HPV vaccine and undergo regular screening with Pap smears or HPV tests starting from age 30. Patients who have been treated for or are monitoring cervical lesions should have regular follow-up appointments to detect progression or recurrence and intervene promptly.

Minh Tam

*Patient's name has been changed