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Vopr Onkol ; 61(3): 486-93, 2015.
Artigo em Russo | MEDLINE | ID: mdl-26242166

RESUMO

The paper presents a clinical case of a patient of 29 years old with a diagnosis of cervical cancer sIIA1 stage with the modern therapeutic approach: as a diagnostic and treatment phase there was performed videoendoscopic pelvic lymph node dissection at a 16-week pregnancy, excluded lymphogenous spread of tumor and on the basis of which it was decided to prolong pregnancy, given the strong desire of the patient to keep the baby. At a 19-week and a 23-week pregnancy there were two courses of neoadjuvant chemotherapy and at a 34-week--Cesarean delivery with simultaneous radical hysterectomy and ovarian transposition followed by a course of adjuvant distant radiotherapy. The final diagnosis was as pT2aN0M0. The observation was during 7 months: the patient is alive without recurrence, the child develops without physical and psychomotor abnormalities.


Assuntos
Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Cesárea , Histerectomia , Excisão de Linfonodo/métodos , Terapia Neoadjuvante/métodos , Medicina de Precisão , Complicações Neoplásicas na Gravidez/terapia , Neoplasias do Colo do Útero/terapia , Adulto , Feminino , Humanos , Histerectomia/métodos , Estadiamento de Neoplasias , Pelve , Gravidez , Complicações Neoplásicas na Gravidez/patologia , Resultado da Gravidez , Segundo Trimestre da Gravidez , Radioterapia Adjuvante , Resultado do Tratamento , Neoplasias do Colo do Útero/patologia , Cirurgia Vídeoassistida
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