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Simple trachelectomy during pregnancy for cervical cancer
Estefania Moreno-Luna1, Patricia Alonso1, Javier De Santiago1
1Gynaecological Oncology Unit, La Paz University Hospital, Madrid 28046, Spain.
Ecancermedicalscience
|September 10, 2016
Summary
Early-stage invasive cervical cancer during pregnancy can be managed conservatively. This approach may allow for the preservation of pregnancy while awaiting definitive treatment post-delivery.
Area of Science:
- Gynecology
- Oncology
- Obstetrics
Background:
- Invasive cervical cancer is a rare complication during pregnancy, affecting up to 3% of cases.
- Cervical cancer is one of the most frequently diagnosed cancers in women of reproductive age.
- Early detection is possible through routine cervicovaginal Pap smears during prenatal checkups.
Observation:
- A case study details a patient diagnosed with cervical cancer at 20 weeks gestation.
- The patient underwent a simple trachelectomy and cerclage at 24 weeks, successfully preserving the pregnancy.
- A healthy baby was delivered at term.
Findings:
- Definitive treatment, including total hysterectomy and bilateral salpingectomy, was completed three months postpartum.
- The patient remained recurrence-free for 17 months post-treatment.
- Conservative management of early-stage cervical cancer during pregnancy is feasible.
Implications:
- Preserving the pregnancy is a viable option in early-stage cervical cancer cases.
- This case highlights the importance of integrating gynecologic oncology and obstetrics for optimal patient care.
- Further research into conservative management strategies for cervical cancer in pregnancy is warranted.
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