| Pregnancy after trachelectomy: a high-risk condition of preterm delivery. Report of a case and review of the literature. | |
| | |
MedLine Citation:
|
PMID: 15297207 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Trachelectomy is a conservative but locally radical procedure associated with a high risk of preterm delivery. CASE: A 28-year-old patient with cervical cancer FIGO stage IB1 was treated with laparoscopic pelvic lymphadenectomy followed by trachelectomy. Three years later, she conceived spontaneously. In consideration of the high risk of preterm delivery, the cervical status was evaluated by transvaginal ultrasonography. At 16 weeks' gestation, we observed the cerclage suture correctly placed at the level of the internal cervical os and a "neo-cervical" segment length of 1.5 cm. Thereafter, serial ultrasound measurements showed preservation of the cervical competence. The patient achieved an uneventful pregnancy and delivered by elective cesarean section at 37 weeks. CONCLUSION: Transvaginal scans to evaluate the competence of the "neo-cervix" may contribute to the management and counseling of patients after trachelectomy. |
| | |
Authors:
|
Patrick Petignat; Catalin Stan; Eric Megevand; Daniel Dargent |
Related Documents
:
|
7724147 - Combined abdominal-perineal sonography to assist in diagnosis of transverse vaginal sep... 8503707 - Cervical pregnancy. a case report. 1887347 - Recurrent spontaneous abortion--aetiological factors and subsequent reproductive perfor... 19883267 - Emergency cervical cerclage: predictors of success. 20509157 - Adam12 is an effective marker in the second trimester of pregnancy for prenatal screeni... 9141577 - A randomised controlled trial of doppler ultrasound velocimetry of the umbilical artery... |
Publication Detail:
|
Type: Case Reports; Journal Article; Review |
Journal Detail:
|
Title: Gynecologic oncology Volume: 94 ISSN: 0090-8258 ISO Abbreviation: Gynecol. Oncol. Publication Date: 2004 Aug |
Date Detail:
|
Created Date: 2004-08-06 Completed Date: 2004-09-14 Revised Date: 2005-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 0365304 Medline TA: Gynecol Oncol Country: United States |
Other Details:
|
Languages: eng Pagination: 575-7 Citation Subset: IM |
Affiliation:
|
Gynecologic Oncology Service, University Hospitals of Geneva, Boulevard de la Cluse 30, 1211 Geneva 14, Switzerland. patrick-petignat@hcuge.ch |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Female Gynecologic Surgical Procedures / methods Humans Obstetric Labor, Premature Pregnancy Pregnancy Complications, Neoplastic* Pregnancy Outcome Risk Factors Uterine Cervical Neoplasms / surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Lobular carcinoma in situ of the breast within a fibroadenoma. A case report.
Next Document: Grade 3 liposomal-doxorubicin-induced skin toxicity in a patient following complete resolution of mo...