Advanced Cervical Cancer During Pregnancy: Case Report and Review of the Literature

Abstract

A 37-year-old primigravid patient, at 20 weeks of gestation, was referred to gynecology and obstetrics department for pelvic pain and vaginal bleeding. At speculum examination, she had a cervical bleeding mass. The transvaginal ultrasound showed a complex left pelvic masses. A pelvic MRI was performed, revealing an extended cervical cancer with lymph node metastasis. The patient was diagnosed with an invasive locally advanced tumor of the cervix. After multi-disciplinary reunion, pregnancy was interrupted, and the patient had hysterectomy, adnexectomy and lymphadenectomy associated with adjuvant chemotherapy. The early follow up did not reveal any complication.