A case of advanced uterine cervical cancer in 2rd trimester that had LSIL in 1st trimester of pregnancy

AKAMATA Nobuko, YAMAZAKI Tatsuo, KUROSU Hiroyuki, YANO Ryo, KOBAYASHI Orie, OTA Shoji, KOBAYASHI Yaeko, UMEZAWA Satoshi

doi:10.5795/jjscc.54.158

Bibliographic Information

Other Title

妊娠初期に LSIL であったにもかかわらず妊娠中期に進行子宮頸癌と診断した 1 例

Description

Background : Uterine cervical cancer is one of the most common malignancies in pregnancy and 1% of women with cervical cancer are pregnant or postpartum at the time of the diagnosis. We report a case of a patient with progressive cervical cancer who was monitored by pap smear through the duration of pregnancy.<br>Case : An 32-year-old woman presented with the complaint of vaginal bleeding during pregnancy. She was diagnosed clinically as having threatened abortion and later, as having threatened premature delivery. The cytological diagnosis was LSIL at 10 weeks of gestation and HSIL at 22 weeks of gestation. However, the cytopathological findings revealed invasive squamous cell carcinoma at 29 weeks of pregnancy. A Cesarean delivery was performed, followed by radical hysterectomy.<br>Conclusion : Cytological diagnosis is difficult in pregnant women, especially because of the high frequency interference by copious mucous discharge and atypical genital bleeding. Therefore, in the event of detection of abnormal cytological findings in pregnant women, a colposcopic examination and punch biopsy should be performed.

Journal

The Journal of the Japanese Society of Clinical Cytology

The Journal of the Japanese Society of Clinical Cytology 54 (2), 158-163, 2015

The Japanese Society of Clinical Cytology

Keywords

Details 詳細情報について

CRID: 1390001204694551936

NII Article ID: 130005071171

DOI: 10.5795/jjscc.54.158

ISSN: 18827233; 03871193

Web Site: https://search.jamas.or.jp/link/ui/2015397211

Text Lang: ja

Data Source

JaLC
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CiNii Articles
OpenAIRE

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