Conservative treatment of stage IA2 squamous cell carcinoma of the cervix during pregnancy.
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.
Ben-Arie
Alon
A
Department of Obstetrics and Gynecology, Kaplan Medical Center, Hebrew University and Hadassah Medical School, Rehovot, Israel. abenarie@hotmail.com
Levy
Roni
R
Lavie
Ofer
O
Edwards
Creighton
C
Kaplan
Alan
A
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*