title: Conservative treatment of stage IA2 squamous cell carcinoma of the cervix during pregnancy.
abstract: BACKGROUND
  The standard management of early-stage invasive cervical cancer in early pregnancy is radical hysterectomy with the fetus in situ. We describe a case of early invasive cervical cancer in pregnancy that was treated with a conservative surgical approach.
  
  
  METHODS
  A nulliparous pregnant women at 15 weeks of gestation was diagnosed with stage IA2 invasive cervical cancer. She declined a radical hysterectomy, desiring to continue the pregnancy. A repeat cervical conization with retroperitoneal lymph node dissection was followed by radical trachelectomy 6 weeks after delivery. Currently she has 2 children, and there is no evidence of recurrence.
  
  
  CONCLUSIONS
  Conservative stepwise surgical management of early invasive cervical cancer in the first half of pregnancy was a feasible approach in this woman who wished to continue the pregnancy.
authors.affiliation: Department of Obstetrics and Gynecology, Kaplan Medical Center, Hebrew University and Hadassah Medical School, Rehovot, Israel. abenarie@hotmail.com
authors.forename: Alon
authors.initials: A
authors.lastname: Ben-Arie
authors.forename: Roni
authors.initials: R
authors.lastname: Levy
authors.forename: Ofer
authors.initials: O
authors.lastname: Lavie
authors.forename: Creighton
authors.initials: C
authors.lastname: Edwards
authors.forename: Alan
authors.initials: A
authors.lastname: Kaplan
mesh_terms: D000328:Adult; D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000601:surgery*; D019092:Conization / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D005865:Gestational Age; D006801:Humans; D007044:Hysterectomy / Q000379:methods; D008198:Lymph Nodes / Q000473:pathology / Q000601:surgery*; D009361:Neoplasm Invasiveness; D049590:Postpartum Period; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000473:pathology / Q000601:surgery*; D011256:Pregnancy Outcome; D011296:Prenatal Diagnosis / Q000379:methods; D016896:Treatment Outcome; D002583:Uterine Cervical Neoplasms / Q000473:pathology / Q000601:surgery*