Ahmet BİLGİ, Fazıl AVCI, Çetin ÇELİK, Pınar KARABAĞLI
Anatolian Journal of Obstetrics and Gynecology Research - 2025;2(3):138-141
Cervical cancer diagnosis during pregnancy is the most common type of gynecological cancer. However, cervical adenocarcinoma is rarely seen. A 29-year-old patient, G1P0, presented with vaginal bleeding and a hemorrhagic mass was detected on gynecological examination of the cervix. Ultrasound revealed a 7-week pregnancy. After obtaining written consent regarding the pregnancy and cervical mass, colposcopy revealed a 2 cm diameter cervical mass (FIGO stage IB1) involving the cervical transformation zone, and cold knife conization was performed. The histopathological result was reported as a well-differentiated cervical adenocarcinoma measuring 2 x 1.5 x 0.6 cm, with an invasion depth of 6 mm, positive basal surgical margin, and positive lymphovascular space invasion. Despite being informed about pregnancy and cervical cancer and its risks, the patient refused any intervention and wished to continue her pregnancy. At the follow-up visit, no pathology was detected on pelvic magnetic resonance imaging, control colposcopic examination, or gynecological examination. During the pregnancy follow-up period, a live male infant weighing 3100 g was delivered at 38 weeks. Two months after delivery, the patient consented to surgical treatment and underwent a hysterectomy, bilateral salpingectomy, and pelvic lymph node dissection. After a 2-day follow-up, the patient's condition was stable and she was discharged. Every pregnant woman should be assessed with a gynecological speculum examination. Treatment management can be adapted according to the reproductive desires of patients of childbearing age.
