title: [Pregnancy and delivery after conservative surgical treatment and radiotherapy of vulvar carcinoma].
abstract: The study presents a rare case of a very young women with carcinoma of the vulva who was pregnant and delivered after therapy of vulvar cancer. First surgical management was performed on a 16-year-old patient. Further therapy included wide resection of ipsilateral groin lymph nodes affected by carcinoma. Ipsilateral pelvic lymphadenectomy was also performed. After resection of a local recurrence from the right inguinal region, the patient was administered external beam irradiation of 45 Gy to the hemi-pelvis. At 6.5 year after the completion of the therapy (surgical management and radiotherapy) the patient is free of disease. Such therapy allowed to preserve fertility and the patient conceived and delivered. Partial post-irradiation damage of the uterus might have caused immature labor.
authors.affiliation: II Kliniki Połoznictwa i Ginekologii Akademii Medycznej, Gdańsku.
authors.forename: Hanna
authors.initials: H
authors.lastname: Makarewicz
authors.forename: Janusz
authors.initials: J
authors.lastname: Emerich
mesh_terms: D000328:Adult; D002294:Carcinoma, Squamous Cell / Q000532:radiotherapy* / Q000601:surgery*; D036861:Delivery, Obstetric; D005260:Female; D006801:Humans; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis; D009364:Neoplasm Recurrence, Local / Q000532:radiotherapy / Q000601:surgery; D011247:Pregnancy; D011256:Pregnancy Outcome; D013997:Time Factors; D016896:Treatment Outcome; D014846:Vulvar Neoplasms / Q000532:radiotherapy* / Q000601:surgery*
vernacular_title: Ciaza i poród po wieloetapowym, oszczedzajacym leczeniu chirurgicznym i radioterapii z powodu raka sromu.