IA1 microinvasive cervical adenocarcinoma in a young woman

Introduction: The expansion of cytological screening programs for cervical cancer leads to an increase in the proportion of both adenocarcinomas and diagnoses in young women with reproductive intention. Conservative treatment is not fully established. Objective: to report the conservative managemen...

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Main Authors: Barbara Tavares, Círbia Silva Campos Teixeira, Diama Bhadra do Vale, Joana Froes Bragança, Julio Cesar Teixeira
Format: Article
Language:English
Published: Zeppelini Editorial e Comunicacao 2018-12-01
Series:DST
Subjects:
Online Access:https://bjstd.org/revista/article/view/836
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author Barbara Tavares
Círbia Silva Campos Teixeira
Diama Bhadra do Vale
Joana Froes Bragança
Julio Cesar Teixeira
author_facet Barbara Tavares
Círbia Silva Campos Teixeira
Diama Bhadra do Vale
Joana Froes Bragança
Julio Cesar Teixeira
author_sort Barbara Tavares
collection DOAJ
description Introduction: The expansion of cytological screening programs for cervical cancer leads to an increase in the proportion of both adenocarcinomas and diagnoses in young women with reproductive intention. Conservative treatment is not fully established. Objective: to report the conservative management and follow-up difficulties of a real case of microinvasive cervical adenocarcinoma in a young woman. Case report: This is a case report of a 23-yearold patient with stage IA1 microinvasive cervical adenocarcinoma related to HPV18. The patient was vaccinated against HPV 16/18 at 16 years of age and conservatively treated. She became pregnant during follow-up with a favorable outcome. Conclusion: We discuss the difficulties and uncertainties regarding follow-up and opportunity for hysterectomy, emphasizing the need for a multidisciplinary approach to make a balanced decision between conservative treatment and oncological safety, as well as mitigate follow-up difficulties in real life.
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spelling doaj.art-85f237c67a0b4d82a1aa38af250967602023-01-28T01:05:59ZengZeppelini Editorial e ComunicacaoDST2177-82642018-12-01304IA1 microinvasive cervical adenocarcinoma in a young womanBarbara TavaresCírbia Silva Campos TeixeiraDiama Bhadra do ValeJoana Froes BragançaJulio Cesar Teixeira Introduction: The expansion of cytological screening programs for cervical cancer leads to an increase in the proportion of both adenocarcinomas and diagnoses in young women with reproductive intention. Conservative treatment is not fully established. Objective: to report the conservative management and follow-up difficulties of a real case of microinvasive cervical adenocarcinoma in a young woman. Case report: This is a case report of a 23-yearold patient with stage IA1 microinvasive cervical adenocarcinoma related to HPV18. The patient was vaccinated against HPV 16/18 at 16 years of age and conservatively treated. She became pregnant during follow-up with a favorable outcome. Conclusion: We discuss the difficulties and uncertainties regarding follow-up and opportunity for hysterectomy, emphasizing the need for a multidisciplinary approach to make a balanced decision between conservative treatment and oncological safety, as well as mitigate follow-up difficulties in real life. https://bjstd.org/revista/article/view/836adenocarcinomauterine cervical neoplasmconizationconservative treatmentpregnancy outcometreatment outcome
spellingShingle Barbara Tavares
Círbia Silva Campos Teixeira
Diama Bhadra do Vale
Joana Froes Bragança
Julio Cesar Teixeira
IA1 microinvasive cervical adenocarcinoma in a young woman
DST
adenocarcinoma
uterine cervical neoplasm
conization
conservative treatment
pregnancy outcome
treatment outcome
title IA1 microinvasive cervical adenocarcinoma in a young woman
title_full IA1 microinvasive cervical adenocarcinoma in a young woman
title_fullStr IA1 microinvasive cervical adenocarcinoma in a young woman
title_full_unstemmed IA1 microinvasive cervical adenocarcinoma in a young woman
title_short IA1 microinvasive cervical adenocarcinoma in a young woman
title_sort ia1 microinvasive cervical adenocarcinoma in a young woman
topic adenocarcinoma
uterine cervical neoplasm
conization
conservative treatment
pregnancy outcome
treatment outcome
url https://bjstd.org/revista/article/view/836
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AT diamabhadradovale ia1microinvasivecervicaladenocarcinomainayoungwoman
AT joanafroesbraganca ia1microinvasivecervicaladenocarcinomainayoungwoman
AT juliocesarteixeira ia1microinvasivecervicaladenocarcinomainayoungwoman