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Fast and unfavorable course of invasive cancer of the uterine cervix associated with pregnancy despite of a typical treatment. Case report of 35-year-old pregnant multipara
1 Departament of Gynecology and Obstetrics District Hospital, Garwolin, Poland
2 Department of Obstetrics and Gynecology of the Medical Centre of Postgraduate Education in Warsaw, Warsaw, Poland
Eur. J. Gynaecol. Oncol. 2016, 37(4), 558–562; https://doi.org/10.12892/ejgo3039.2016
Published: 10 August 2016
Carcinoma of the cervix is the most common malignancy associated with pregnancy. The frequency of cervical cancer is estimated to range from 1/1,200 to 1/10,000 pregnancies. The symptoms of cervical cancer are not specific and can be mistaken as frequent symptoms associated with other pathologies of pregnancy. The diagnostic procedure is similar to the one which should be proposed to unpregnant women. The treatment of cervical cancer depends on gestational age. The final treatment and further prognosis is carried out after delivery. The authors present the case of a 35-year-old woman at 34 weeks of gestation diagnosed with Stage IB cervical cancer. Treatment was delayed until fetal maturity and an elective cesarean section was performed at 36 weeks' gestation, followed by a radical hysterectomy, bilateral salpingo-oophorectomy, and a pelvic lymphadenectomy. Patient underwent adjuvant radiochemotherapy and brachytherapy. Recurrence of neoplastic process was found after one year.