Takai Noriyuki, Hayashita Chihiro, Nakamura Satoru, Narahara Hisashi, Matsumoto Hideo
Department of Obstetrics and Gynecology, Oita University Faculty of Medicine, 1-1 Idaigaoka, Hasama-machi, Yufu-shi, Oita 879-5593, Japan.
Case Rep Med. 2010;2010:314547. doi: 10.1155/2010/314547. Epub 2010 Jun 10.
Villoglandular papillary adenocarcinoma (VPA) is a very rare subtype of adenocarcinoma of the uterine cervix, but a well-recognized variant of cervical adenocarcinoma with a favorable prognosis and generally occurring in women of child-bearing age. Only five cases of VPA and pregnancy have been reported. Herein, we report a case of VPA diagnosed during early pregnancy and managed successfully with conservative measures; our patient delivered a healthy baby in full term. A successful pregnancy can be completed in patients with VPA without lymph-vascular invasion, when treated conservatively. This management is particularly desirable in young women to preserve reproductive capability.
腺管型乳头状腺癌(VPA)是子宫颈腺癌中一种非常罕见的亚型,但却是宫颈腺癌中一种公认的变异型,预后良好,通常发生在育龄妇女中。仅报道过5例VPA合并妊娠的病例。在此,我们报告1例在妊娠早期诊断为VPA并通过保守措施成功治疗的病例;我们的患者足月分娩了一个健康的婴儿。对于无淋巴管侵犯的VPA患者,保守治疗可成功完成妊娠。对于年轻女性而言,这种治疗方式特别有助于保留生育能力。