IA1 microinvasive cervical adenocarcinoma in a young woman

conservative procedure and reproductive outcome

Authors

  • Barbara Tavares
  • Círbia Silva Campos Teixeira
  • Diama Bhadra do Vale
  • Joana Froes Bragança
  • Julio Cesar Teixeira

Keywords:

adenocarcinoma, uterine cervical neoplasm, conization, conservative treatment, pregnancy outcome, treatment outcome

Abstract

Introduction: The expansion of cytological screening programs for cervical cancer leads to an increase in the proportion of both adenocarcinomas and diagnoses in young women with reproductive intention. Conservative treatment is not fully established. Objective: to report the conservative management and follow-up difficulties of a real case of microinvasive cervical adenocarcinoma in a young woman. Case report: This is a case report of a 23-yearold patient with stage IA1 microinvasive cervical adenocarcinoma related to HPV18. The patient was vaccinated against HPV 16/18 at 16 years of age and conservatively treated. She became pregnant during follow-up with a favorable outcome. Conclusion: We discuss the difficulties and uncertainties regarding follow-up and opportunity for hysterectomy, emphasizing the need for a multidisciplinary approach to make a balanced decision between conservative treatment and oncological safety, as well as mitigate follow-up difficulties in real life.

Downloads

Download data is not yet available.

Author Biographies

Barbara Tavares

Department of Gynecology and Obstetrics, School of Medical Sciences, Universidade Estadual de Campinas – Campinas (SP), Brazil

Círbia Silva Campos Teixeira

Department of Gynecology and Obstetrics, School of Medical Sciences, Universidade Estadual de Campinas – Campinas (SP), Brazil

Diama Bhadra do Vale

Department of Gynecology and Obstetrics, School of Medical Sciences, Universidade Estadual de Campinas – Campinas (SP), Brazil

Joana Froes Bragança

Department of Gynecology and Obstetrics, School of Medical Sciences, Universidade Estadual de Campinas – Campinas (SP), Brazil

Julio Cesar Teixeira

Department of Gynecology and Obstetrics, School of Medical Sciences, Universidade Estadual de Campinas – Campinas (SP), Brazil

Downloads

Published

2018-12-01

How to Cite

1.
Tavares B, Teixeira CSC, Vale DB do, Bragança JF, Teixeira JC. IA1 microinvasive cervical adenocarcinoma in a young woman: conservative procedure and reproductive outcome. DST [Internet]. 2018 Dec. 1 [cited 2024 May 27];30(4):133-6. Available from: https://bjstd.org/revista/article/view/836

Issue

Section

Case Report