Radical abdominal trachelectomy in the 19th gestation week in patients with early invasive cervical carcinoma: case study and overview of literature
Treating pregnant patients with a verified malignant disease represents a great clinical problem. Pregnancy-associated invasive cervical cancer is usually diagnosed at an early stage (approximately 70%). A 27-year-old patient was given the diagnosis of a pathohistologically verified cervical carcino...
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Veröffentlicht in: | American journal of obstetrics and gynecology 2009-08, Vol.201 (2), p.e6-e8 |
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container_title | American journal of obstetrics and gynecology |
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creator | Mandic, Aljosa, MD, MSc Novakovic, Petar, MD Nincic, Dejan, MD, MSc Zivaljevic, Milica, MD, MSc Rajovic, Jelka, MD, MSc |
description | Treating pregnant patients with a verified malignant disease represents a great clinical problem. Pregnancy-associated invasive cervical cancer is usually diagnosed at an early stage (approximately 70%). A 27-year-old patient was given the diagnosis of a pathohistologically verified cervical carcinoma, International Federation of Gynecology and Obstetrics stage IB1, in the 17th gestational week (GW). A radical abdominal trachelectomy was performed in the 19th GW. The patient was undergoing regular examinations at our institute of oncology while the Clinic of Gynecology and Obstetrics in Novi Sad, Serbia, monitored the pregnancy. In 36th GW, the patient had a cesarean section, with no visible traces of relapse, with good postoperative recovery and normal results in the newborn. The patient was discharged on the fifth postoperative day and advised to have her condition monitored at our institute of oncology. One year after radical trachelectomy, the patient is in the 15th GW of a new pregnancy with a normal Papanicolaou smear result. |
doi_str_mv | 10.1016/j.ajog.2009.05.002 |
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Pregnancy-associated invasive cervical cancer is usually diagnosed at an early stage (approximately 70%). A 27-year-old patient was given the diagnosis of a pathohistologically verified cervical carcinoma, International Federation of Gynecology and Obstetrics stage IB1, in the 17th gestational week (GW). A radical abdominal trachelectomy was performed in the 19th GW. The patient was undergoing regular examinations at our institute of oncology while the Clinic of Gynecology and Obstetrics in Novi Sad, Serbia, monitored the pregnancy. In 36th GW, the patient had a cesarean section, with no visible traces of relapse, with good postoperative recovery and normal results in the newborn. The patient was discharged on the fifth postoperative day and advised to have her condition monitored at our institute of oncology. One year after radical trachelectomy, the patient is in the 15th GW of a new pregnancy with a normal Papanicolaou smear result.</description><identifier>ISSN: 0002-9378</identifier><identifier>EISSN: 1097-6868</identifier><identifier>DOI: 10.1016/j.ajog.2009.05.002</identifier><identifier>PMID: 19527898</identifier><language>eng</language><publisher>United States: Mosby, Inc</publisher><subject>Adult ; cervical carcinoma ; Cervix Uteri - pathology ; Cervix Uteri - surgery ; Colposcopy ; Female ; Gynecologic Surgical Procedures - methods ; Humans ; Infant, Newborn ; Obstetrics and Gynecology ; Pregnancy ; Pregnancy Complications, Neoplastic - pathology ; Pregnancy Complications, Neoplastic - surgery ; Pregnancy Outcome ; trachelectomy ; Uterine Cervical Neoplasms - pathology ; Uterine Cervical Neoplasms - surgery</subject><ispartof>American journal of obstetrics and gynecology, 2009-08, Vol.201 (2), p.e6-e8</ispartof><rights>Mosby, Inc.</rights><rights>2009 Mosby, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c453t-c9c54013ca76b736c75cf1e57e8d096313ddeddae2eddfa8b088d292dc9c20243</citedby><cites>FETCH-LOGICAL-c453t-c9c54013ca76b736c75cf1e57e8d096313ddeddae2eddfa8b088d292dc9c20243</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0002937809004918$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19527898$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mandic, Aljosa, MD, MSc</creatorcontrib><creatorcontrib>Novakovic, Petar, MD</creatorcontrib><creatorcontrib>Nincic, Dejan, MD, MSc</creatorcontrib><creatorcontrib>Zivaljevic, Milica, MD, MSc</creatorcontrib><creatorcontrib>Rajovic, Jelka, MD, MSc</creatorcontrib><title>Radical abdominal trachelectomy in the 19th gestation week in patients with early invasive cervical carcinoma: case study and overview of literature</title><title>American journal of obstetrics and gynecology</title><addtitle>Am J Obstet Gynecol</addtitle><description>Treating pregnant patients with a verified malignant disease represents a great clinical problem. Pregnancy-associated invasive cervical cancer is usually diagnosed at an early stage (approximately 70%). A 27-year-old patient was given the diagnosis of a pathohistologically verified cervical carcinoma, International Federation of Gynecology and Obstetrics stage IB1, in the 17th gestational week (GW). A radical abdominal trachelectomy was performed in the 19th GW. The patient was undergoing regular examinations at our institute of oncology while the Clinic of Gynecology and Obstetrics in Novi Sad, Serbia, monitored the pregnancy. In 36th GW, the patient had a cesarean section, with no visible traces of relapse, with good postoperative recovery and normal results in the newborn. The patient was discharged on the fifth postoperative day and advised to have her condition monitored at our institute of oncology. One year after radical trachelectomy, the patient is in the 15th GW of a new pregnancy with a normal Papanicolaou smear result.</description><subject>Adult</subject><subject>cervical carcinoma</subject><subject>Cervix Uteri - pathology</subject><subject>Cervix Uteri - surgery</subject><subject>Colposcopy</subject><subject>Female</subject><subject>Gynecologic Surgical Procedures - methods</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Obstetrics and Gynecology</subject><subject>Pregnancy</subject><subject>Pregnancy Complications, Neoplastic - pathology</subject><subject>Pregnancy Complications, Neoplastic - surgery</subject><subject>Pregnancy Outcome</subject><subject>trachelectomy</subject><subject>Uterine Cervical Neoplasms - pathology</subject><subject>Uterine Cervical Neoplasms - surgery</subject><issn>0002-9378</issn><issn>1097-6868</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UsuKFDEUDaI47egPuJCs3FWZRz0SEUEGXzAg-FiHdHJrOjVVlTZJddP_4Qeb2A2CCzfJvbnnHLjnBKHnlNSU0O7VWOvR39WMEFmTtiaEPUAbSmRfdaITD9GG5KdK8l5coScxjqVlkj1GV1S2rBdSbNCvr9o6oyest9bPbslVCtrsYAKT_HzCbsFpB5jKtMN3EJNOzi_4CHBfRvvcwpIiPro8Bx2mwjjo6A6ADYTDH22jg3GLn_XrXEbAMa32hPVisT8UDByxH_DkEgSd1gBP0aNBTxGeXe5r9OPD--83n6rbLx8_37y7rUzT8lQZadqGUG5032173pm-NQOFtgdhiew45daCtRpYPgcttkQImw2wmcgIa_g1ennW3Qf_c83LqdlFA9OkF_BrVF3fNpQxnoHsDDTBxxhgUPvgZh1OihJVslCjKlmokoUircpOZ9KLi_q6ncH-pVzMz4A3ZwDkHbMLQUWT3TRgXcjuK-vd__Xf_kM3k1uK4fdwgjj6NeQ4o6IqMkXUtxJ_-QxEEtJIKvhvSYGzZg</recordid><startdate>20090801</startdate><enddate>20090801</enddate><creator>Mandic, Aljosa, MD, MSc</creator><creator>Novakovic, Petar, MD</creator><creator>Nincic, Dejan, MD, MSc</creator><creator>Zivaljevic, Milica, MD, MSc</creator><creator>Rajovic, Jelka, MD, MSc</creator><general>Mosby, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20090801</creationdate><title>Radical abdominal trachelectomy in the 19th gestation week in patients with early invasive cervical carcinoma: case study and overview of literature</title><author>Mandic, Aljosa, MD, MSc ; Novakovic, Petar, MD ; Nincic, Dejan, MD, MSc ; Zivaljevic, Milica, MD, MSc ; Rajovic, Jelka, MD, MSc</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c453t-c9c54013ca76b736c75cf1e57e8d096313ddeddae2eddfa8b088d292dc9c20243</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adult</topic><topic>cervical carcinoma</topic><topic>Cervix Uteri - pathology</topic><topic>Cervix Uteri - surgery</topic><topic>Colposcopy</topic><topic>Female</topic><topic>Gynecologic Surgical Procedures - methods</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Obstetrics and Gynecology</topic><topic>Pregnancy</topic><topic>Pregnancy Complications, Neoplastic - pathology</topic><topic>Pregnancy Complications, Neoplastic - surgery</topic><topic>Pregnancy Outcome</topic><topic>trachelectomy</topic><topic>Uterine Cervical Neoplasms - pathology</topic><topic>Uterine Cervical Neoplasms - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mandic, Aljosa, MD, MSc</creatorcontrib><creatorcontrib>Novakovic, Petar, MD</creatorcontrib><creatorcontrib>Nincic, Dejan, MD, MSc</creatorcontrib><creatorcontrib>Zivaljevic, Milica, MD, MSc</creatorcontrib><creatorcontrib>Rajovic, Jelka, MD, MSc</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of obstetrics and gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mandic, Aljosa, MD, MSc</au><au>Novakovic, Petar, MD</au><au>Nincic, Dejan, MD, MSc</au><au>Zivaljevic, Milica, MD, MSc</au><au>Rajovic, Jelka, MD, MSc</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Radical abdominal trachelectomy in the 19th gestation week in patients with early invasive cervical carcinoma: case study and overview of literature</atitle><jtitle>American journal of obstetrics and gynecology</jtitle><addtitle>Am J Obstet Gynecol</addtitle><date>2009-08-01</date><risdate>2009</risdate><volume>201</volume><issue>2</issue><spage>e6</spage><epage>e8</epage><pages>e6-e8</pages><issn>0002-9378</issn><eissn>1097-6868</eissn><abstract>Treating pregnant patients with a verified malignant disease represents a great clinical problem. Pregnancy-associated invasive cervical cancer is usually diagnosed at an early stage (approximately 70%). A 27-year-old patient was given the diagnosis of a pathohistologically verified cervical carcinoma, International Federation of Gynecology and Obstetrics stage IB1, in the 17th gestational week (GW). A radical abdominal trachelectomy was performed in the 19th GW. The patient was undergoing regular examinations at our institute of oncology while the Clinic of Gynecology and Obstetrics in Novi Sad, Serbia, monitored the pregnancy. In 36th GW, the patient had a cesarean section, with no visible traces of relapse, with good postoperative recovery and normal results in the newborn. The patient was discharged on the fifth postoperative day and advised to have her condition monitored at our institute of oncology. 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subjects | Adult cervical carcinoma Cervix Uteri - pathology Cervix Uteri - surgery Colposcopy Female Gynecologic Surgical Procedures - methods Humans Infant, Newborn Obstetrics and Gynecology Pregnancy Pregnancy Complications, Neoplastic - pathology Pregnancy Complications, Neoplastic - surgery Pregnancy Outcome trachelectomy Uterine Cervical Neoplasms - pathology Uterine Cervical Neoplasms - surgery |
title | Radical abdominal trachelectomy in the 19th gestation week in patients with early invasive cervical carcinoma: case study and overview of literature |
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