内容紹介
Management of Cervical Cancer StageⅠB during Pregnancy
Summary
Management and treatment of stageⅠB1 cervical cancer during pregnancy depends on the estimated gestational age and personal desires. We report 4 cases of stageⅠB1 cervical cancer during pregnancy that were treated differently. Case 1: A 29-year-old woman, primipara, visited our hospital at 7 weeks' gestation. She was diagnosed with a stageⅠB1 cervical cancer by using conization at 12 weeks' gestation. She strongly desired childbirth and therefore was treated at 29 weeks' gestation with a simultaneous cesarean section and radical surgery. Case 2: A 26-year-old woman, para 1, was diagnosed with stageⅠB1 cervical cancer at 23 weeks' gestation. She was treated at 28 weeks' gestation with a simultaneous cesarean section and radical surgery. Case 3: A 36-year-old woman, para 7, at 18 weeks' gestation, visited our hospital because of a stageⅠA cervical cancer. She chose to undergo abortion and radical surgery, which were performed simultaneously at 21 weeks' gestation. After the surgery, she was diagnosed with a stageⅠB1 cervical cancer pathologically. Case 4: A 33-year-old woman, para 2, was diagnosed with a stageⅠB2 cervical cancer at 30 weeks' gestation and was treated with a simultaneous cesarean section and radical surgery at 31 weeks' gestation.
要旨
診断妊娠週数・患者の挙児希望から異なる対応を必要とした妊娠合併子宮頸癌ⅠB期4例を経験したので報告する。症例1: 29歳,未経産。妊娠7週に紹介され,妊娠12週に子宮頸部円錐切除術を施行した。子宮頸癌ⅠB1期と診断確定したが,患者の強い妊娠継続希望のため妊娠29週まで継続し,帝王切開同時広汎子宮全摘術を施行した。症例2: 26歳,1回経産。妊娠23週に紹介され,子宮頸癌ⅠB1期と診断した。妊娠期間を5週間延長し,妊娠28週に帝王切開同時広汎子宮全摘術を施行した。症例3: 36歳,7回経産。妊娠18週に子宮頸癌ⅠA期の疑いで紹介され,妊娠21週に人工妊娠中絶同時準広汎子宮全摘・骨盤リンパ節郭清術を施行し,術後の病理学的診断結果でⅠB1期と診断した。症例4: 33歳,2回経産。妊娠30週に紹介され,子宮頸癌ⅠB2期と診断した。妊娠31週に帝王切開同時広汎子宮全摘術を施行した。
目次
Summary
Management and treatment of stageⅠB1 cervical cancer during pregnancy depends on the estimated gestational age and personal desires. We report 4 cases of stageⅠB1 cervical cancer during pregnancy that were treated differently. Case 1: A 29-year-old woman, primipara, visited our hospital at 7 weeks' gestation. She was diagnosed with a stageⅠB1 cervical cancer by using conization at 12 weeks' gestation. She strongly desired childbirth and therefore was treated at 29 weeks' gestation with a simultaneous cesarean section and radical surgery. Case 2: A 26-year-old woman, para 1, was diagnosed with stageⅠB1 cervical cancer at 23 weeks' gestation. She was treated at 28 weeks' gestation with a simultaneous cesarean section and radical surgery. Case 3: A 36-year-old woman, para 7, at 18 weeks' gestation, visited our hospital because of a stageⅠA cervical cancer. She chose to undergo abortion and radical surgery, which were performed simultaneously at 21 weeks' gestation. After the surgery, she was diagnosed with a stageⅠB1 cervical cancer pathologically. Case 4: A 33-year-old woman, para 2, was diagnosed with a stageⅠB2 cervical cancer at 30 weeks' gestation and was treated with a simultaneous cesarean section and radical surgery at 31 weeks' gestation.
要旨
診断妊娠週数・患者の挙児希望から異なる対応を必要とした妊娠合併子宮頸癌ⅠB期4例を経験したので報告する。症例1: 29歳,未経産。妊娠7週に紹介され,妊娠12週に子宮頸部円錐切除術を施行した。子宮頸癌ⅠB1期と診断確定したが,患者の強い妊娠継続希望のため妊娠29週まで継続し,帝王切開同時広汎子宮全摘術を施行した。症例2: 26歳,1回経産。妊娠23週に紹介され,子宮頸癌ⅠB1期と診断した。妊娠期間を5週間延長し,妊娠28週に帝王切開同時広汎子宮全摘術を施行した。症例3: 36歳,7回経産。妊娠18週に子宮頸癌ⅠA期の疑いで紹介され,妊娠21週に人工妊娠中絶同時準広汎子宮全摘・骨盤リンパ節郭清術を施行し,術後の病理学的診断結果でⅠB1期と診断した。症例4: 33歳,2回経産。妊娠30週に紹介され,子宮頸癌ⅠB2期と診断した。妊娠31週に帝王切開同時広汎子宮全摘術を施行した。