Conservative Treatment of Stage IA1 Adenocarcinoma of the Uterine Cervix during Pregnancy : Case Report and Review of the Literature
Joint Authors
Buttignol, Monica
Di Giuseppe, Jacopo
Angelini, Marta
Ciavattini, Andrea
Sopracordevole, Francesco
Rossi, Diego
Boschian-Bailo, Pierino
Source
Case Reports in Obstetrics and Gynecology
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-03-16
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Microinvasive adenocarcinoma (MIAC) of the uterine cervix is rare in pregnancy.
Published data on conservative treatment of MIAC both in pregnant and nonpregnant women are scarce.
A conservatively treated case of MIAC in a 13-week-pregnant woman after a diagnosis of atypical glandular cells (AGC) on pap smear at the 6th week of pregnancy is presented.
The problems of suspected adenocarcinoma in situ (AIS) on biopsy and MIAC on cone biopsy in pregnancy, as well as the risks and benefits of a conservative treatment are discussed.
After colposcopic guide laser cervical conization and expression of informed consent the patient underwent followup and vaginal delivery at 40 weeks plus 3 days of gestation.
In this case, no obstetric complication has been recorded after the cervical conization, and after a followup of 18 months the patient was alive and free of disease, with negative results as far as pap smear, colposcopy, HPV status, and cervical curettage are concerned.
In a stage Ia1 disease of endocervical type, with clear margins and without lymph-vascular space invasion, cervical conization performed during the second trimester may be considered a definitive and safe treatment, at least up to delivery, after expression of informed consent by the woman.
American Psychological Association (APA)
Sopracordevole, Francesco& Rossi, Diego& Di Giuseppe, Jacopo& Angelini, Marta& Boschian-Bailo, Pierino& Buttignol, Monica…[et al.]. 2014. Conservative Treatment of Stage IA1 Adenocarcinoma of the Uterine Cervix during Pregnancy : Case Report and Review of the Literature. Case Reports in Obstetrics and Gynecology،Vol. 2014, no. 2014, pp.1-5.
https://search.emarefa.net/detail/BIM-461305
Modern Language Association (MLA)
Sopracordevole, Francesco…[et al.]. Conservative Treatment of Stage IA1 Adenocarcinoma of the Uterine Cervix during Pregnancy : Case Report and Review of the Literature. Case Reports in Obstetrics and Gynecology No. 2014 (2014), pp.1-5.
https://search.emarefa.net/detail/BIM-461305
American Medical Association (AMA)
Sopracordevole, Francesco& Rossi, Diego& Di Giuseppe, Jacopo& Angelini, Marta& Boschian-Bailo, Pierino& Buttignol, Monica…[et al.]. Conservative Treatment of Stage IA1 Adenocarcinoma of the Uterine Cervix during Pregnancy : Case Report and Review of the Literature. Case Reports in Obstetrics and Gynecology. 2014. Vol. 2014, no. 2014, pp.1-5.
https://search.emarefa.net/detail/BIM-461305
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-461305