[Cervical cancer and pregnancy--diagnostic and therapeutic problems. Report of four cases and review of the literature].
In this publication are presented four cases of pregnant women with a cervical cancer (with preoperative staging) as follow: the first pregnant 6-7 g.w., stage T1a1, No, Mo, the second 19-20 g.w., staged as T2a, Nx, Mo; the third--in 20-21 g.w., stage T1b2, Nx, Mo and the fourth in 29-30 g.w., with premature rupture of membranes and stage T1b2, Nx, Mo. To all patients was performed radical hysterectomy with pelvic lymphnode dissection, and to three of them followed by radiotherapy. To the first operation was performed after induced abortion, to the second hysterectomy was with a fetus in uterus, the third and fourth were with Sectio parva and Sectio caesarea, followed at the same time by radical hysterectomy. The different diagnostic and therapeutic approaches to pregnant women with a cervical cancer, depending of the stage of the disease, the term of pregnancy and the patient and physician's desire are discussed.
Slavchev
B
B
Zlatkov
V
V
Kostova
P
P
Borisov
S
S
D000328:Adult; D005260:Female; D006801:Humans; D007044:Hysterectomy; D009367:Neoplasm Staging; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy*; D011878:Radiotherapy; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy*