A cervical carcinoma was diagnosed in a 32-year-old patient in the 17th week of her pregnancy.
The histological confirmation revealed a well-differentiated squamous cell carcinoma. It was a
clinical stage Ib1 tumour, without enlarged lymph nodes according to the image. After a staging
MRI, intensive education of the patient and case discussion at the interdisciplinary tumour
board as well as consultation with the neonatologist, it was agreed to prolong the pregnancy
under close monitoring. The carcinoma was confined to the cervix in the further course of the
pregnancy. The elective delivery was planned after 32 weeks of gestation. The primary Caesarean
section followed by radical hysterectomy Piver II were carried out without complications. After
regular postoperative progression of the mother, brachytherapy was performed at the appropriate
time. The premature newborn was under neonatal care and exhibited good postnatal adaptation.
Mother and child were discharged in good health.