Document Detail


Successful conservative treatment of endocervical adenocarcinoma stage Ib1 diagnosed early in pregnancy.
MedLine Citation:
PMID:  18231896     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Kristel Van Calsteren; Myriam Hanssens; Philippe Moerman; Guy Orye; Didier Bielen; Ignace Vergote; Frederic Amant
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Acta obstetricia et gynecologica Scandinavica     Volume:  87     ISSN:  1600-0412     ISO Abbreviation:  Acta Obstet Gynecol Scand     Publication Date:  2008  
Date Detail:
Created Date:  2008-01-30     Completed Date:  2008-04-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370343     Medline TA:  Acta Obstet Gynecol Scand     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  250-3     Citation Subset:  IM    
Affiliation:
Gynecologic Oncology, Leuven Cancer Institute (LKI), Department of Obstetrics and Gynecology, UZ Gasthuisberg, Katholieke Universiteit Leuven, Belgium.
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MeSH Terms
Descriptor/Qualifier:
Adenocarcinoma / diagnosis,  surgery*
Adult
Cervix Uteri / surgery
Early Diagnosis*
Female
Humans
Lymph Node Excision
Pregnancy
Pregnancy Complications, Neoplastic / diagnosis,  surgery*
Pregnancy Trimester, First
Uterine Cervical Neoplasms / diagnosis,  surgery*

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