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[Pregnancy and invasive cervical cancer]
Akusherstvo I Ginekologiia
|February 21, 2009
Summary
A case report details managing stage IB1 cervical cancer in a 36-week pregnant patient. Surgical intervention included cesarean radical hysterectomy with ovarian transposition, alongside a literature review for treatment recommendations.
Area of Science:
- Gynecologic Oncology
- Reproductive Medicine
- Oncologic Surgery
Background:
- Cervical cancer diagnosis during pregnancy presents unique management challenges.
- Balancing maternal oncologic needs with fetal well-being is critical.
- FIGO staging is essential for treatment stratification in cervical cancer.
Observation:
- A 27-year-old pregnant woman (36 weeks gestation) was diagnosed with stage IB1 spinocellular cervical cancer.
- The patient underwent a cesarean radical hysterectomy.
- Pelvic lymphadenectomy and ovarian transposition were performed concurrently.
Findings:
- The surgical approach successfully managed advanced cervical cancer in late-term pregnancy.
- Literature review identified an evidence-based algorithm for cervical cancer management during pregnancy.
- Recommendations are tailored to gestational stage and tumor characteristics.
Implications:
- This case highlights the feasibility of radical surgical treatment for cervical cancer in advanced pregnancy.
- The established algorithm provides a framework for multidisciplinary decision-making.
- Ovarian transposition may preserve fertility options in select cases.
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