[Cervical cancer Ib associated with pregnancy].
An analysis of symptoms, diagnostic methods, intra- and postoperative complications in 17 pregnant patients in which Wertheim-Meigs operation was done due to stage Ib cervical cancer, is presented in this report. The most common symptoms were contact bleeding and spotting (58.8%) as well as pathologic vaginal discharge (29.4%). 3 patient did not have any symptoms in their history. No bleeding occurred in patients in whom probatory specimen was taken from their cervix. Small 7-12 days spotting appeared in 2 out of 3 patients following diagnostic conisation, done in case of ca in situ or microinvasive cancer. Pregnancy as a such was never a cause of intraoperative difficulties or complications. Mean blood transfusion was 1250 ml, this is 150 ml more than in nonpregnant patients. Most frequent postoperative complication was retentio urinare (47%). 5-year survival rate of pregnant patients (82.3%) was worse than in nonpregnant patients (96.2%) in the same age group and in comparable expansion of cancer in stage Ib in postoperative histological evaluation.
Smutek
J
J
I Kliniki Połoznictwa i Ginekologii, Instytutu Połoznictwa i Chorób Kobiecych AM w Gdańsku.
Mielnik
J
J
Jurczak
M
M
Kadylak
B
B
Sobol
A
A
D000328:Adult; D005260:Female; D006801:Humans; D009367:Neoplasm Staging; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis*; D012189:Retrospective Studies; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis* / Q000601:surgery
Inwazyjny rak szyjki macicy w ciazy.