[An advanced cervical carcinoma coexisting with pregnancy in 19-years old primipara--a case report and review of current literature].
In our case report we described an fatal outcome of very young, nineteen years old primipara with advanced, aggressive squamous cervical cancer associated with 20 weeks gestation. Despite of our intentions to abort the pregnancy and started immediate therapy, she decided to delay treatment to allow fetal maturity. After 12 weeks interval, she was readmitted to the hospital with symptoms of intestinal occlusions caused by fast progression of disease. In 33 week of gestation we performed classical caesarean section with Pivercs type III radical hysterectomy. She was delivered of viable female infant weighing 1800 g. Simultaneously, we extended operation of possible cytoreductive surgery. After that, patient received two courses of adjuvant chemotherapy (MIC-scheme) and supplemental external beam radiation. Unfortunately, despite of multidisciplinary, aggressive treatment, she experienced recurrence in pelvic side walls within 6 months of surgery. At last follow-up, she was receiving salvage therapy.
Liro
Marcin
M
II Kliniki Połoznictwa i Ginekologii Instytutu Połoznictwa i Chorób Kobiecych AM w Gdańsku.
Olszewski
Jarosław
J
Kobierski
Juliusz
J
Emerich
Janusz
J
Łukaszuk
Krzysztof
K
D000328:Adult; D017024:Chemotherapy, Adjuvant; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D018307:Neoplasms, Squamous Cell / Q000188:drug therapy / Q000601:surgery; D010386:Pelvic Neoplasms / Q000556:secondary; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000188:drug therapy / Q000601:surgery; D011256:Pregnancy Outcome; D002583:Uterine Cervical Neoplasms / Q000188:drug therapy / Q000601:surgery