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Journal of Education, Health and Sport

Management of Pregnancy in a Patient with a History of Cervical Cancer: Case Report
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  • Management of Pregnancy in a Patient with a History of Cervical Cancer: Case Report
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  4. Medical Sciences

Management of Pregnancy in a Patient with a History of Cervical Cancer: Case Report

Authors

  • Marcelina Sztyler-Krąkowska Dr Anna Gostynska Wolski Hospital, Independent Public Health Care Institution, Marcina Kasprzaka 17, 01-211 Warsaw, Poland https://orcid.org/0009-0004-4817-9537
  • Agnieszka Wąsowicz Central Clinical Hospital of Ministry of the Interior and Administration, Wołoska 137, 02-507 Warsaw, Poland https://orcid.org/0009-0008-3256-793X
  • Olga Śpiołek LUX MED Sp. z o.o., Szturmowa 2, 02-678 Warsaw, Poland https://orcid.org/0009-0008-6271-1242
  • Aleksandra Słowikowska Central Clinical Hospital of Ministry of the Interior and Administration, Wołoska 137, 02-507 Warsaw, Poland https://orcid.org/0009-0004-3705-822X
  • Julia Szatkowska Hospital of Our Lady of Perpetual Help in Wołomin, Gdyńska 1/3, 05-200 Wołomin, Poland https://orcid.org/0009-0007-5084-9378
  • Jan Siwiec Międzyleski Specialist Hospital in Warsaw, Bursztynowa 2, 04-749 Warsaw, Poland https://orcid.org/0000-0002-7193-7074
  • Natalia Smyl John Paul II Western Hospital in Grodzisk Mazowiecki, Daleka 11, 05-825 Grodzisk Mazowiecki, Poland https://orcid.org/0009-0003-9571-3432
  • Mateusz Teofilak Międzyleski Specialist Hospital in Warsaw, Bursztynowa 2, 04-749 Warsaw, Poland https://orcid.org/0009-0007-3902-2484
  • Franciszek Kędziora Medical University of Białystok https://orcid.org/0009-0003-7833-1985

DOI:

https://doi.org/10.12775/JEHS.2024.71.56171

Keywords

cervical cancer, pregnancy, cervical insufficiency

Abstract

Cervical cancer is one of the most common malignancies affecting women of reproductive age. Although surgical procedures such as conization or trachelectomy may offer the possibility of preserving fertility, they may also compromise cervical integrity, thereby increasing the risk of obstetric complications in subsequent pregnancies.

This case report presents the management of a pregnant patient with a history of cervical cancer, thyroid dysfunction, and previous obstetric complications. The patient, a 38-year-old woman, conceived naturally after previous in vitro fertilization (IVF) attempts. Despite a complex medical history, including two prior cervical conizations for stage IA1 G1 cervical glandular carcinoma, the patient underwent successful antenatal care, delivery, and postnatal management. This report highlights the multidisciplinary approach and challenges encountered in managing pregnancies in patients with a history of cervical cancer and previous obstetric complications.

References

Terzic M, Makhadiyeva D, Bila J, Andjic M, Dotlic J, Aimagambetova G, Sarria-Santamera A, Laganà AS, Chiantera V, Vukovic I, et al. Reproductive and Obstetric Outcomes after Fertility-Sparing Treatments for Cervical Cancer: Current Approach and Future Directions. Journal of Clinical Medicine. 2023; 12(7):2614. https://doi.org/10.3390/jcm12072614

Kohn JR, Katebi Kashi P, Acosta-Torres S, Beavis AL, Christianson MS. Fertility-sparing Surgery for Patients with Cervical, Endometrial, and Ovarian Cancers. J Minim Invasive Gynecol. 2021;28(3):392-402. https://doi.org/10.1016/j.jmig.2020.12.027

Coakley K, Wolford J, Tewari KS. Fertility preserving treatment for gynecologic malignancies: a review of recent literature. Curr Opin Obstet Gynecol. 2020;32(1):51-56. https://doi.org/10.1097/gco.0000000000000604

Fricová Lenka, Sláma Jiří. Current knowledge on fertility-sparing treatment of cervical cancer patients. Současné znalosti o fertilitu šetřící léčbě pacientek s karcinomem děložního hrdla. Ceska Gynekol. 2022;87(5):362-370. https://doi.org/10.48095/cccg2022362

Liu CK, Huang KG, Chen MJ, et al. The Current Trend of Fertility Preservation in Patients with Cervical Cancer. Gynecol Minim Invasive Ther. 2023;13(1):4-9. Published 2023 Dec 7. https://doi.org/10.4103/gmit.gmit_34_23

Ronsini C, Solazzo MC, Molitierno R, et al. Fertility-Sparing Treatment for Early-Stage Cervical Cancer ≥ 2 cm: Can One Still Effectively Become a Mother? A Systematic Review of Fertility Outcomes. Ann Surg Oncol. 2023;30(9):5587-5596. https://doi.org/10.1245/s10434-023-13542-z

Halaska MJ, Drochytek V, Shmakov RG, Amant F. Fertility sparing treatment in cervical cancer management in pregnancy. Best Pract Res Clin Obstet Gynaecol. 2021;75:101-112. https://doi.org/10.1016/j.bpobgyn.2021.03.014

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Published

2024-11-27

How to Cite

1.
SZTYLER-KRĄKOWSKA, Marcelina, WĄSOWICZ, Agnieszka, ŚPIOŁEK, Olga, SŁOWIKOWSKA, Aleksandra, SZATKOWSKA, Julia, SIWIEC, Jan, SMYL, Natalia, TEOFILAK, Mateusz and KĘDZIORA, Franciszek. Management of Pregnancy in a Patient with a History of Cervical Cancer: Case Report. Journal of Education, Health and Sport. Online. 27 November 2024. Vol. 71, p. 56171. [Accessed 17 July 2025]. DOI 10.12775/JEHS.2024.71.56171.
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Issue

Vol. 71 (2024)

Section

Medical Sciences

License

Copyright (c) 2024 Marcelina Sztyler-Krąkowska, Agnieszka Wąsowicz, Olga Śpiołek, Aleksandra Słowikowska, Julia Szatkowska, Jan Siwiec, Natalia Smyl, Mateusz Teofilak, Franciszek Kędziora

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This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0

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