Aoki Yoichi, Inamine Morihiko, Ohishi Sugiko, Nagai Yutaka, Masamoto Hitoshi
Department of Obstetrics and Gynecology, Graduate School of Medical Science, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, Japan.
Case Rep Obstet Gynecol. 2014;2014:926502. doi: 10.1155/2014/926502. Epub 2014 Dec 8.
Background. With regard to the therapy for early invasive cervical carcinoma during pregnancy, radical trachelectomy is also a treatment of choice, along with its advantages and disadvantages. Case Report. A 28-year-old woman, para 1-0-0-1, was diagnosed with FIGO stage IB1 squamous cell carcinoma of the cervix at 12 weeks of gestation. The patient underwent radical abdominal trachelectomy with pelvic lymphadenectomy at 17 weeks of gestation. Her pregnancy was successfully maintained after the surgery. The patient underwent a planned cesarean section at 38 weeks of gestation. A healthy baby girl weighing 2970 g was born with an Apgar score of 8/9. The mother and child in overall good health were discharged. Ten months after the delivery, there was no clinical evidence of recurrence. Conclusions. We believe that it is appropriate to perform radical abdominal trachelectomy in the early second trimester with preserving uterine arteries, although it is a technically challenging approach. It may be possible that radical abdominal trachelectomy during pregnancy can help women avoid the triple losses of a desired pregnancy, fertility, and motherhood.
背景。关于妊娠期早期浸润性宫颈癌的治疗，根治性宫颈切除术也是一种治疗选择，有其优缺点。病例报告。一名28岁女性，孕1产0，妊娠12周时被诊断为国际妇产科联盟（FIGO）IB1期宫颈鳞状细胞癌。患者在妊娠17周时接受了根治性经腹宫颈切除术及盆腔淋巴结清扫术。术后成功维持妊娠。患者在妊娠38周时接受了计划剖宫产。一名体重2970克的健康女婴出生，阿氏评分8/9。母婴健康状况良好，出院。分娩后十个月，无复发的临床证据。结论。我们认为，在孕中期早期保留子宫动脉进行根治性经腹宫颈切除术是合适的，尽管这是一种技术上具有挑战性的方法。妊娠期进行根治性经腹宫颈切除术可能有助于女性避免期望妊娠、生育能力和母亲身份的三重损失。
