Abstract

•Definitive treatment of cervical cancer in pregnancy poses a dilemma for patients desiring to continue gestation.•Robotic surgical staging of cervical cancer diagnosed during pregnancy is feasible.•Robotic surgical staging improves the prognostic assessment for pregnant patients when making a decision between immediate versus delayed treatment.

Highlights

  • Cervical cancer is one of the more common gynecologic malignancies diagnosed during pregnancy; the incidence in pregnancy is estimated to be approximately 1.6 to 10.6 per 10,000 pregnancies (Favero et al, 2010a)

  • We present the case of a patient diagnosed with cervical cancer during the early second trimester who underwent a robotic assisted lymphadenectomy to assess for the presence of metastatic disease prior to a decision regarding immediate versus delayed definitive treatment

  • Cervical cancer is one of the few gynecologic malignancies for which clinical staging remains the standard of care, despite well described limitations in its ability to identify patients with asymptomatic metastatic disease

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Summary

Case Report

Robotic surgical staging for cervical cancer diagnosed during pregnancy: Immediate versus delayed definitive treatment☆. Article history: Received 20 January 2013 Accepted 26 March 2013 Available online 3 April 2013

Introduction
Case study
Discussion
Findings
Treatment after pregnancy

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