Cesarean delivery with bilateral ovarian transposition for locally advanced cervical cancer Lokal İleri Evre Serviks Kanserinde Sezeryan Doğumda Bilateral Ovaryan Transpozisyon


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ALANBAY İ., Ozturk M., Ulubay M., Karasahin K. E., Yenen M. C.

Journal of Clinical and Analytical Medicine, vol.7, pp.171-173, 2016 (ESCI) identifier identifier

  • Publication Type: Article / Article
  • Volume: 7
  • Publication Date: 2016
  • Doi Number: 10.4328/jcam.4515
  • Journal Name: Journal of Clinical and Analytical Medicine
  • Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.171-173
  • Keywords: Cervical Cancer, Ovarian Transposition, Pregnancy, PREGNANCY
  • Lokman Hekim University Affiliated: No

Abstract

© 2016, Journal of Clinical and Analytical Medicine. All rights reserved.We aimed to discuss about management of pregnancy with locally advanced cer-vical cancer, especially at the third trimester with ovarian transposition concomit-tant with cesarean delivery.A 26 year old patient who was at the 29th week of gestation had amniotic leakage for 9 days. During the sterile speculum examina-tion, a large cervical lesion was detected.The cervical biopsy revealed invasive squamous cervical cancer. An magnetic resonance imaging(MRI) showed 55X63X-68mm cervical lesion with suspicious right parametrial involvement, and no nodal involvement.An elective cesarean delivery decision was taken due to non-reas-suring fetal status and suspicious chorioamnionitis.At 30th week of gestation, an elective cesarean delivery with bilateral ovarian transposition was performed.Pel-vic radiation, including external beam and brachytherapy, has been the standard treatment of advanced cervical cancer.During the third trimester, fetal maturity is awaited and a caesarean section followed by standard treatment is proposed and the ovaries can be preserved with ovarian transposition in young women.