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Re: Interesting case of cervical cancer in pregnancyFrom: DoctorJoe@aol.comWed Apr 26 10:33:36 2000
In a message dated 4/26/0 10:14:16 AM, you wrote: <<A 28 year old lady, para 2 is presently 29 weeks pregnant. She reported with per vaginal bleeding. On examination she was found to have a polypoid growth arising from the cervix. Biopsy of the growth reveals a high grade adenocarcinoma. Clinical examination reveals induration in the left parametrium,right parametrium is free.Parametrial involvement is thus doubtful. I would like to ask the forum how best to manage this case.>> She needs to be staged, just like anyone else. You're in a "favorable" position since the baby is viable. If urgent surgery is recommended, based upon staging, then steroids and delivery is possible. The longer the baby stays in utero, of course, the better. Obviously this will be the last baby this lady has. So I'd get together with the gyn oncologist, go over the findings, and plan a strategy. More biopsies can be taken without any problem, and some radiologic procedures can be done. But the bottom line is, treat it like you would any cervical cancer, saving the baby, of course, before anything damaging would be done to it... The really problem case would be at 18 or 20 weeks or earlier. Joe P.
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