부산대학교 도서관

Cervical cancer is one of most diagnosed cancers in pregnancy. Although the prognosis is similar to the one in non-pregnant women, the management of such cases still poses a series of challenges for the physician, including having to consider the outcomes of both mother and baby and relying on literature limited to small numbers of cases. When cervical cancer is diagnosed in the second half of the pregnancy, the management involves the administration of neoadjuvant chemotherapy up to three weeks before delivery, which is ideally recommended to be delayed until >37 weeks of gestation. We report the case of a 25-year-old woman, gravid 3 para 1, diagnosed at 24 weeks of gestation, with FIGO stage IIA squamous cervical cancer. The termination of pregnancy was not an option, thus platinum-based NACT was initiated, with good tolerance. After five cycles of NACT, a caesarean section was required due to uterine contractions, vaginal bleeding and shortening of the cervix. The outcome was favorable for both mother and baby; the patient is currently undergoing radiation therapy and the baby was discharged in good health after 14 days. We aim to present and discuss the current trends in treating this complex pathology in order to contribute to the current knowledge on the subject and help improve the management of such cases. [ABSTRACT FROM AUTHOR]