Tailoring neoadjuvant chemotherapy for a pregnant patient diagnosed with IB2 squamous cervical carcinoma

被引:1
作者
Babkova, Anna [1 ]
Robova, Helena [1 ]
Malikova, Hana [2 ]
Drozenova, Jana [3 ]
Pichlik, Tomas [1 ]
Halaska, Michael J. [1 ]
Rob, Lukas [1 ]
机构
[1] Charles Univ Prague, Univ Hosp Kralovske Vinohrady, Med Fac 3, Dept Obstet & Gynecol, Srobarova 1150-50, Prague 10043, Czech Republic
[2] Charles Univ Prague, Univ Hosp Kralovske Vinohrady, Med Fac 3, Dept Radiol & Nucl Med, Prague, Czech Republic
[3] Charles Univ Prague, Univ Hosp Kralovske Vinohrady, Med Fac 3, Dept Pathol, Prague, Czech Republic
关键词
Cervical cancer; Neoadjuvant chemotherapy; Pregnancy; Individualized therapy; CANCER; CISPLATIN; CHILD;
D O I
10.1016/j.gore.2024.101532
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
The incidence of cancer during pregnancy is steadily rising because of the postponement of plans for childbearing. One of the most common cancers diagnosed during pregnancy is cervical cancer. Diagnosis of most cases usually occurs in the early stages, but there are still cases of tumors staged IB2 and higher. In these cases, the treatment strategy entails administration of neoadjuvant chemotherapy. However, a universally recognized standardized regimen for neoadjuvant chemotherapy treatment of cervical cancer during pregnancy has yet to be established. The chemotherapy agents used during treatment are known for their fetal adverse effects. The aim of the therapy is to attain full-term pregnancy while minimizing fetal toxicity and decreasing tumor size. In this case report, we present a first-time sequential chemotherapy administration to minimize the cumulative toxicity of individual regimens and demonstrate the benefits for the patient and fetus.
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页数:5
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