Management of locally advanced cervical cancer in pregnancy: A case report

Emanuela Rabaiotti, Cristina Sigismondi, Serena Montoli, Giorgia Mangili, Massimo Candiani, Riccardo Viganò

Research output: Contribution to journalArticle

Abstract

Background. Carcinoma of the cervix is the most common malignancy associated with pregnancy. In the first and second trimesters patients should receive the same treatment as is used in nonpregnant women and termination is advised. In selected cases neoadjuvant chemotherapy (NACT) could be proposed but only a few cases have been reported. Case. A 27-year-old woman, gravida 1 para 0, at 15 weeks' gestation, was diagnosed with FIGO stage IB2 squamous cervical cancer. After refusing to terminate pregnancy, she was treated with neoadjuvant chemotherapy (cisplatin) starting at 18 weeks. A cesarean section with radical surgery was performed at 32 weeks and a healthy baby delivered. Four weeks later the patient started chemoradiation therapy. She relapsed 1 year after surgery and died when her child was 2 years old. Conclusion. NACT followed by radical surgery was an unsuccessful treatment in our patient; platinum-based chemotherapy was harmless to the child up to the last follow-up.

Original languageEnglish
Pages (from-to)623-626
Number of pages4
JournalTumori
Volume96
Issue number4
Publication statusPublished - 2010

Keywords

  • Cervical carcinoma
  • Cisplatin
  • Neoadjuvant chemotherapy
  • Pregnancy

ASJC Scopus subject areas

  • Cancer Research
  • Oncology
  • Medicine(all)

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  • Cite this

    Rabaiotti, E., Sigismondi, C., Montoli, S., Mangili, G., Candiani, M., & Viganò, R. (2010). Management of locally advanced cervical cancer in pregnancy: A case report. Tumori, 96(4), 623-626.