Locally advanced cervical cancer complicating early pregnancy: A case of multiple challenges in a limited-resource

Amira Burhan1,2, Nazik Elmalaika Husian3, Rabab Yahia4

  • 1Cervical Cancer Prevention & Research (CCPR) Unit, Department of Obstetrics & Gynaecology, Soba University Hospital, Khartoum Postal Code 13314, Sudan.

Carcinoma of the cervix is the most common malignant tumor associated with pregnancy and still poses a complex management problem. Limited data are available on locally advanced cervical cancer outcomes in the first half of pregnancy and how disadvantaged young women in low- and middle-income countries are. A 34-year-old woman at 17 weeks of gestation was diagnosed with FIGO stage III-C1r cervical cancer. All available treatment options were associated with significant risks. The patient opted for pregnancy termination, followed by chemoradiation. We present the challenges that gynecologists face in low-resource settings in managing locally advanced cervical cancer.

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