Locally advanced cervical cancer complicating pregnancy: A case of competing risks from the Catholic University of the Sacred Heart in Rome

Publication date: Available online 4 July 2018
Source:Gynecologic Oncology
Author(s): R. De Vincenzo, L. Tortorella, C. Ricci, A.F. Cavaliere, G.F. Zannoni, M.G. Cefalo, G. Scambia, A. Fagotti
A case of stage IB2 cervical cancer at 27 weeks of pregnancy, treated with neoadjuvant chemotherapy followed by radical Cesarean hysterectomy with full pelvic and infra-mesenteric lymphadenectomy, and adjuvant chemo-radiation is described. While she remains without disease, her baby was diagnosed with acute myelogenous leukemia. We highlight the pre-operative work-up, treatment options, safety, feasibility, and outcomes for the mother and her fetus.