Cesarean Delivery with Bilateral Ovarian Transposition for Locally Advanced Cervical Cancer

We aimed to discuss about management of pregnancy with locally advanced cervical cancer, especially at the third trimester with ovarian transposition concomittant with cesarean delivery.A 26 year old patient who was at the 29th week of gestation had amniotic leakage for 9 days. During the sterile speculum examination, a large cervical lesion was detected.The cervical biopsy revealed invasive squamous cervical cancer. An magnetic resonance imaging(MRI) showed 55X63X68mm cervical lesion with suspicious right parametrial involvement, and no nodal involvement.An elective cesarean delivery decision was taken due to non-reassuring fetal status and suspicious chorioamnionitis.At 30th week of gestation, an elective cesarean delivery with bilateral ovarian transposition was performed.Pelvic radiation, including external beam and brachytherapy, has been the standard treatment of advanced cervical cancer.During the third trimester, fetal maturity is awaited and a caesarean section followed by standard treatment is proposed and the ovaries can be preserved with ovarian transposition in young women