Diagnosis and treatment of a case of adenocarcinoma of the cervix in pregnancy
Dolci, F.; Biancotti, L.; Luzzu, A.; Ambrosi, S.
Minerva Ginecologica 51(6): 245-249
1999
ISSN/ISBN: 0026-4784 PMID: 10479876 Document Number: 512014
The authors report a case of mucinous-papilliferous adenocarcinoma of the cervical canal in a pregnant woman. After performing three Pap tests which demonstrated the presence of normoconformate endometrial cells partly with a normal conformation and partly with nuclear atypia, the patient was monitored with periodical obstetric examinations. A neoformation of the portio was observed at week 28: differential diagnosis was made between a hypertrophic benign tumour and a well differentiated adenocarcinoma. The patient was monitored until birth and colposcopy was then performed with biopsy about one month later. Histological tests were positive for mucinous papilliferous adenocarcinoma. The patient underwent conisation with rotating loop and subsequently Piver 2 surgery owing to the suspected spread of the neoplasm beyond the margin of resection. The operative finding was negative and the patient is now free of disease.