Suzuki Kazuhiro, Shinbo Akiko, Hando Mioko, Hiromura Katsuhiko, Mizuno Kimio
Dept. of Obstetrics and Gynecology, Japanese Red Cross Nagoya Daiichi Hospital.
Gan To Kagaku Ryoho. 2015 Sep;42(9):1123-5.
Management and treatment of stage I B1 cervical cancer during pregnancy depends on the estimated gestational age and personal desires. We report 4 cases of stage I B1 cervical cancer during pregnancy that were treated differently. Case 1: A 29- year-old woman, primipara, visited our hospital at 7 weeks' gestation. She was diagnosed with a stage I B1 cervical cancer by using conization at 12 weeks' gestation. She strongly desired childbirth and therefore was treated at 29 weeks' gestation with a simultaneous cesarean section and radical surgery. Case 2: A 26-year-old woman, para 1, was diagnosed with stage I B1 cervical cancer at 23 weeks' gestation. She was treated at 28 weeks' gestation with a simultaneous cesarean section and radical surgery. Case 3: A 36-year-old woman, para 7, at 18 weeks' gestation, visited our hospital because of a stage I A cervical cancer. She chose to undergo abortion and radical surgery, which were performed simultaneously at 21 weeks' gestation. After the surgery, she was diagnosed with a stage I B1 cervical cancer pathologically. Case 4: A 33-year-old woman, para 2, was diagnosed with a stage I B2 cervical cancer at 30 weeks' gestation and was treated with a simultaneous cesarean section and radical surgery at 31 weeks' gestation.
妊娠期I B1期宫颈癌的管理和治疗取决于估计的孕周和个人意愿。我们报告4例妊娠期I B1期宫颈癌的不同治疗病例。病例1:一名29岁初产妇,孕7周时来我院就诊。孕12周时通过锥切术诊断为I B1期宫颈癌。她强烈希望分娩,因此在孕29周时接受了剖宫产和根治性手术。病例2:一名26岁经产妇,孕23周时诊断为I B1期宫颈癌。孕28周时接受了剖宫产和根治性手术。病例3:一名36岁经产妇,孕18周时因I A期宫颈癌来我院就诊。她选择堕胎并接受根治性手术,于孕21周时同时进行。手术后,病理诊断为I B1期宫颈癌。病例4:一名33岁经产妇,孕30周时诊断为I B2期宫颈癌,于孕31周时接受了剖宫产和根治性手术。