Lal Suman, Kriplani Alka, Bhatla Neerja, Agarwal Nutan
Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi 110029.
J Indian Med Assoc. 2011 Oct;109(10):751-2.
Carcinoma of cervix is the commonest malignancy seen in Indian women in all age groups and therefore commonly seen in pregnancy. However, most of the cases remain in early stage and the occurrence of invasive cervical carcinoma is relatively uncommon in pregnant women. There is always a therapeutic dilemma faced by the gynaecologic oncologist and the maternal foetal specialist regarding management of pregnancy with cervical malignancy. A 30 years old, multiparous woman diagnosed to have squamous cell carcinoma of the cervix FIGO stage IB1 in the early second trimester was treated by radical hysterectomy followed by radiotherapy is being reported. The various therapeutic options and prognosis are discussed.
宫颈癌是印度各年龄段女性中最常见的恶性肿瘤,因此在孕期也较为常见。然而,大多数病例仍处于早期,浸润性宫颈癌在孕妇中相对少见。妇科肿瘤学家和母胎专家在处理合并宫颈恶性肿瘤的妊娠时总是面临治疗困境。本文报告了一名30岁经产妇,在孕中期早期被诊断为宫颈鳞状细胞癌FIGO分期IB1期,接受了根治性子宫切除术后放疗。文中讨论了各种治疗选择和预后情况。