Successful term delivery following conservative management for villoglandular papillary adenocarcinoma of the uterine cervix: A case report.
BACKGROUND
Villoglandular papillary adenocarcinoma (VPA) is a rare subtype of adenocarcinoma of the uterine cervix. A conservative surgical approach is considered feasible. Only three cases of VPA and pregnancy have been reported.


METHODS
A 34-year-old asymptomatic woman was diagnosed of a well-differentiated VPA without extracervical spread of the disease. A cold knife conization was performed. Five years later, the patient became pregnant. The pregnancy developed without complications and was finished with a caesarean delivery, due to nonreassuring fetal status. A healthy child was born. Last control 8 years later showed no evidence of disease.


CONCLUSIONS
A successful pregnancy can be completed in patients with VPA without lymph-vascular invasion treated in a conservative way. This management is particularly desirable in young women to preserve reproductive capability.
Falcón
Orlando
O
Unidad de Oncología Ginecológica, Servicio de Obstetricia y Ginecología, Hospital Universitario Materno Infantil de Canarias, Avenida Marítima del Sur, s/n, 35016 Las Palmas de Gran Canaria, Spain. ofalcon@idecnet.com
García
Raquel
R
Lubrano
Amina
A
Morín
Juan Carlos
JC
Andujar
Miguel
M
D000328:Adult; D002291:Carcinoma, Papillary / Q000473:pathology / Q000601:surgery*; D019092:Conization / Q000379:methods; D005260:Female; D005298:Fertility; D006801:Humans; D050498:Live Birth; D011247:Pregnancy; D002583:Uterine Cervical Neoplasms / Q000473:pathology / Q000601:surgery*