Open AccessSuccessful conservative treatment of endocervical adenocarcinoma stage Ib1 diagnosed early in pregnancy
Author(s) -
VAN CALSTEREN KRISTEL,
HANSSENS MYRIAM,
MOERMAN PHILIPPE,
ORYE GUY,
BIELEN DIDIER,
VERGOTE IGNACE,
AMANT FREDERIC
Publication year - 2008
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.1080/00016340701870794
Subject(s) - medicine , pregnancy , gestation , adenocarcinoma , cervix , stage (stratigraphy) , obstetrics , amputation , cervical conization , cervical cancer , gynecology , lymphadenectomy , surgery , cancer , cervical intraepithelial neoplasia , paleontology , genetics , biology
Traditionally when cervical cancer is diagnosed during the first trimester of pregnancy, oncological treatment is given priority despite the pregnant state. A 32‐year‐old primigravida was diagnosed with invasive endocervical adenocarcinoma stage Ib1 at 8 weeks’ gestation. As the patient wanted to preserve the pregnancy, an amputation of the anterior cervix and retroperitoneal pelvic lymphadenectomy were performed. Based on favourable prognostic markers, we decided to maintain the pregnancy with careful cytological and histological follow‐up. The patient gave birth at term to a healthy boy, and 18 months after the delivery there is no evidence of recurrent disease. In the absence of poor prognostic markers, we decided to adopt a conservative approach for cervical adenocarcinoma in a pregnant patient at 8 weeks’ gestation.