Scholars International Journal of Obstetrics and Gynecology (SIJOG)
Volume-4 | Issue-04 | 95-98
Case Report
Cervical Cancer in Pregnant Women: A Case Report
Mohamed Adnane Rhaidouni, Yassine Outifa, Mohamed Cheikh Abderrahmane, Sofia Jayi, Fatima Zohra Fdili Alaoui, Hikmat Chaara, Moulay Abdelilah Melhouf
Published : April 11, 2021
Abstract
The process itself of staging of the disease during pregnancy and the treatment should comply with current standards, to the extent possible. Surgery and/or chemotherapy are considered to be fundamental methods of treatment for invasive cervical cancer during pregnancy. Tactics in the treatment of such patients is determined by a range of factors and depends on gestational age at the time of diagnosis, the stage of the disease, tumor size, as well as on the involvement of regional lymph nodes and the woman’s desire to continue pregnancy. Case Description: A 32 year-old patient, grand multipara, admitted for spontaneous metrorrhagia of low abundance during a 7 month pregnancy (date of last menstrual period is inaccurate) for which she consulted in the private sector where she underwent a gynecological examination that showed a tumoral process of the cervix, and then a biopsy that revealed a cervical squamous cell carcinoma. The patient was then referred to our departement for further care; we decided to perform a C-section at 34 weeks of ammenorrhea, giving birth to a male infant with a birth weight of 2300g, and then a CRC. Conclusion: The incidence of cervical cancer in pregnancy is itself not very high, and the symptoms are easily confused with other diseases in pregnancy. During pregnancy, gynecological examination is limited, and therefore, the rate of misdiagnosis is higher. The treatment of cervical cancer during pregnancy is related to many factors, such as tumor size, pathological type, period of gestation, lymph node involvement, and patients' willingness to maintain pregnancy.