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[PERSONALIZATION OF TREATMENT FOR CERVICAL CANCER DURING PREGNANCY].
- Source :
-
Voprosy onkologii [Vopr Onkol] 2015; Vol. 61 (3), pp. 486-93. - Publication Year :
- 2015
-
Abstract
- The paper presents a clinical case of a patient of 29 years old with a diagnosis of cervical cancer sIIA1 stage with the modern therapeutic approach: as a diagnostic and treatment phase there was performed videoendoscopic pelvic lymph node dissection at a 16-week pregnancy, excluded lymphogenous spread of tumor and on the basis of which it was decided to prolong pregnancy, given the strong desire of the patient to keep the baby. At a 19-week and a 23-week pregnancy there were two courses of neoadjuvant chemotherapy and at a 34-week--Cesarean delivery with simultaneous radical hysterectomy and ovarian transposition followed by a course of adjuvant distant radiotherapy. The final diagnosis was as pT2aN0M0. The observation was during 7 months: the patient is alive without recurrence, the child develops without physical and psychomotor abnormalities.
- Subjects :
- Adult
Female
Humans
Neoplasm Staging
Pelvis
Pregnancy
Pregnancy Complications, Neoplastic pathology
Pregnancy Outcome
Pregnancy Trimester, Second
Radiotherapy, Adjuvant
Treatment Outcome
Uterine Cervical Neoplasms pathology
Video-Assisted Surgery
Antineoplastic Combined Chemotherapy Protocols therapeutic use
Cesarean Section
Hysterectomy methods
Lymph Node Excision methods
Neoadjuvant Therapy methods
Precision Medicine
Pregnancy Complications, Neoplastic therapy
Uterine Cervical Neoplasms therapy
Subjects
Details
- Language :
- Russian
- ISSN :
- 0507-3758
- Volume :
- 61
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Voprosy onkologii
- Publication Type :
- Academic Journal
- Accession number :
- 26242166