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Simple trachelectomy during pregnancy for cervical cancer
Invasive cervical cancer is rare during a pregnancy, even though it is one of the most frequently diagnosed neoplasias during that time. It is noted that around 30% of women diagnosed with cervical cancer are of reproductive age. This means that up to 3% of cases of cervical cancer are found in preg...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cancer Intelligence
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5014553/ https://www.ncbi.nlm.nih.gov/pubmed/27610199 http://dx.doi.org/10.3332/ecancer.2016.673 |
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author | Moreno-Luna, Estefania Alonso, Patricia Santiago, Javier De Zapardiel, Ignacio |
author_facet | Moreno-Luna, Estefania Alonso, Patricia Santiago, Javier De Zapardiel, Ignacio |
author_sort | Moreno-Luna, Estefania |
collection | PubMed |
description | Invasive cervical cancer is rare during a pregnancy, even though it is one of the most frequently diagnosed neoplasias during that time. It is noted that around 30% of women diagnosed with cervical cancer are of reproductive age. This means that up to 3% of cases of cervical cancer are found in pregnant women or those who are in the post-birth period. A cervicovaginal Pap smear is performed as part of the regular checkup for a pregnant woman during the first visit so that cervical cancer can easily be diagnosed early in these women, detecting it early in up to 70–80% of cases. We present here the case of a patient with initial diagnosis of cervical cancer made around 20th week of pregnancy. It was then treated by a simple trachelectomy and cerclage during week 24. The pregnant woman gave birth to a healthy baby at the end of her pregnancy. Definitive treatment was completed three months after giving birth with a total hysterectomy and laparoscopic bilateral salpingectomy while preserving both ovaries. After 17 months of monitoring the patient showed no signs of reoccurrence. In conclusion, during the early stage of cervical cancer conservative management may be a reasonable option to preserve the current pregnancy. |
format | Online Article Text |
id | pubmed-5014553 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Cancer Intelligence |
record_format | MEDLINE/PubMed |
spelling | pubmed-50145532016-09-08 Simple trachelectomy during pregnancy for cervical cancer Moreno-Luna, Estefania Alonso, Patricia Santiago, Javier De Zapardiel, Ignacio Ecancermedicalscience Case Report Invasive cervical cancer is rare during a pregnancy, even though it is one of the most frequently diagnosed neoplasias during that time. It is noted that around 30% of women diagnosed with cervical cancer are of reproductive age. This means that up to 3% of cases of cervical cancer are found in pregnant women or those who are in the post-birth period. A cervicovaginal Pap smear is performed as part of the regular checkup for a pregnant woman during the first visit so that cervical cancer can easily be diagnosed early in these women, detecting it early in up to 70–80% of cases. We present here the case of a patient with initial diagnosis of cervical cancer made around 20th week of pregnancy. It was then treated by a simple trachelectomy and cerclage during week 24. The pregnant woman gave birth to a healthy baby at the end of her pregnancy. Definitive treatment was completed three months after giving birth with a total hysterectomy and laparoscopic bilateral salpingectomy while preserving both ovaries. After 17 months of monitoring the patient showed no signs of reoccurrence. In conclusion, during the early stage of cervical cancer conservative management may be a reasonable option to preserve the current pregnancy. Cancer Intelligence 2016-09-06 /pmc/articles/PMC5014553/ /pubmed/27610199 http://dx.doi.org/10.3332/ecancer.2016.673 Text en © the authors; licensee ecancermedicalscience. http://creativecommons.org/licenses/by/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Moreno-Luna, Estefania Alonso, Patricia Santiago, Javier De Zapardiel, Ignacio Simple trachelectomy during pregnancy for cervical cancer |
title | Simple trachelectomy during pregnancy for cervical cancer |
title_full | Simple trachelectomy during pregnancy for cervical cancer |
title_fullStr | Simple trachelectomy during pregnancy for cervical cancer |
title_full_unstemmed | Simple trachelectomy during pregnancy for cervical cancer |
title_short | Simple trachelectomy during pregnancy for cervical cancer |
title_sort | simple trachelectomy during pregnancy for cervical cancer |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5014553/ https://www.ncbi.nlm.nih.gov/pubmed/27610199 http://dx.doi.org/10.3332/ecancer.2016.673 |
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