Abstract
Background. With regard to the therapy for early invasive cervical carcinoma during pregnancy, radical trachelectomy is also a treatment of choice, along with its advantages and disadvantages. Case Report. A 28-year-old woman, para 1-0-0-1, was diagnosed with FIGO stage IB1 squamous cell carcinoma of the cervix at 12 weeks of gestation. The patient underwent radical abdominal trachelectomy with pelvic lymphadenectomy at 17 weeks of gestation. Her pregnancy was successfully maintained after the surgery. The patient underwent a planned cesarean section at 38 weeks of gestation. A healthy baby girl weighing 2970 g was born with an Apgar score of 8/9. The mother and child in overall good health were discharged. Ten months after the delivery, there was no clinical evidence of recurrence. Conclusions. We believe that it is appropriate to perform radical abdominal trachelectomy in the early second trimester with preserving uterine arteries, although it is a technically challenging approach. It may be possible that radical abdominal trachelectomy during pregnancy can help women avoid the triple losses of a desired pregnancy, fertility, and motherhood.
Highlights
Cervical cancer is the most commonly diagnosed malignant tumor during pregnancy [1, 2]
The incidence of abnormal cervical cytological findings is estimated to occur in 1%–5% of all pregnancies, and the reported rate of cervical cancers ranges between 1 and 12 per 10,000 pregnancies [1,2,3]
Only three possible treatment modes have been proposed with regard to the therapy for early invasive cervical carcinoma during pregnancy, which provides a possibility maintaining the pregnancy for the full term
Summary
With regard to the therapy for early invasive cervical carcinoma during pregnancy, radical trachelectomy is a treatment of choice, along with its advantages and disadvantages. A 28-year-old woman, para 1-0-0-1, was diagnosed with FIGO stage IB1 squamous cell carcinoma of the cervix at 12 weeks of gestation. The patient underwent radical abdominal trachelectomy with pelvic lymphadenectomy at 17 weeks of gestation. Her pregnancy was successfully maintained after the surgery. The patient underwent a planned cesarean section at 38 weeks of gestation. We believe that it is appropriate to perform radical abdominal trachelectomy in the early second trimester with preserving uterine arteries, it is a technically challenging approach. It may be possible that radical abdominal trachelectomy during pregnancy can help women avoid the triple losses of a desired pregnancy, fertility, and motherhood
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