IMR Press / JMCM / Volume 3 / Issue 4 / DOI: 10.31083/j.jmcm.2020.04.902
Open Access Case Report
Invasive cervical cancer diagnosed in an 8-month pregnant woman: a case report
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1 Department of medical oncology, Cholet Hospital Center, Cholet, France
2 Department of gynecology and obstetrics, Cholet Hospital Center, Cholet, France
3 Department of medical oncology, Integrated centers of oncology (ICO) Paul Papin, Angers, France
J. Mol. Clin. Med. 2020, 3(4), 109–112; https://doi.org/10.31083/j.jmcm.2020.04.902
Submitted: 24 August 2020 | Accepted: 17 September 2020 | Published: 20 December 2020
Abstract

Gynecologic and skin cancers are those most frequently encountered during pregnancy. Cervical cancer during pregnancy is rare, and concerns remain about its management. We report the case of a 33 years-old women, in whom an invasive stage IIA cervical cancer was diagnosed during her eighth month of pregnancy. At 36 weeks of gestation, a caesarian section was realized. After nodal staging surgery without para-aortic lymphadenectomy, adjunctive chemoradiation therapy was initiated. Thereafter, facing tumor progression, hysterectomy or brachytherapy was no longer possible due to extensive cervix necrosis. The patient died 15 months after the diagnosis of cervical cancer. Knowledge is limited regarding cervical cancer management during pregnancy. A more aggressive therapeutic approach may be considered with radical hysterectomy, brachytherapy and lymphadenectomy.

Keywords
Cervical cancer
pregnancy
pregnancy and cancer
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