Prise en charge des volumineux cancers invasifs du col de l’utérus pendant la grossesse

Vincens, C.; Dupaigne, D; Tayrac, Renaud de; Marès, P.

doi:10.1016/j.gyobfe.2007.12.018

Cited by 8 publications

(3 citation statements)

References 52 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Si la tumeur est diagnostiquée avant 22 à 24 SA, une interruption de grossesse est recommandée. Après 24 SA (sous réserve de l'absence d'extension radiologique ganglionnaire et extra-pelvienne), la radiochimiothérapie peut débuter après la césarienne qui sera faite dès que la maturité foetale le permet (à condition que l'obtention de celle-ci ne retarde pas la mise en route du traitement de la tumeur de plus de six à huit semaines) [ 8 ]. Une option peut se discuter chez des patientes souhaitant préserver leur grossesse: la chimiothérapie néoadjuvante.…”

Section: Discussionunclassified

Prise en charge du cancer du col utérin durant la grossesse: à propos de 05 cas

Mazghi¹,

Bouhafa²,

Loukili³

et al. 2014

Pan Afr Med J

View full text Add to dashboard Cite

L'association d'un cancer du col utérin avec une grossesse est une éventualité rare. Son incidence est assez mal évaluée, elle se situe selon les études entre 1 et 2/10 000. Lorsque la découverte en est faite, il faut conjuguer deux impératifs parfois totalement divergents: le traitement de la mère et la prise en charge du foetus. Cette association pose schématiquement quatre grands problèmes, qui sont: Celui du diagnostic, qui est loin d’être évident, compte tenu des remaniements cervicaux observés en début de gestation, le pronostic de l'affection, la date du traitement chirurgical et du délai entre le diagnostic et la prise en charge thérapeutique, enfin et de manière plus accessoire, le devenir de la grossesse et le mode d'accouchement. Nous rapportons une série de 5 cas de cancer du col utérin découverts au cours de la grossesse colligés dans notre service entre 2010 et 2013. La prise en charge thérapeutique est identique à celle des patientes en dehors de la grossesse même si quelques adaptations sont nécessaires du fait de l’état gravide, le pronostic du cancer ne semble pas être modifié par la grossesse.

show abstract

Section: Discussionunclassified

Prise en charge du cancer du col utérin durant la grossesse: à propos de 05 cas

Mazghi¹,

Bouhafa²,

Loukili³

et al. 2014

Pan Afr Med J

View full text Add to dashboard Cite

show abstract

“…Note the high parity rank, four to five according to studies [4], a direct consequence of the early marriage. The parity factor is involved in the mechanism of occurrence of cervical cancer through microtrauma suffered by the cervix after each delivery.…”

Section: Epidemiological Aspects and Risk Factorsmentioning

confidence: 99%

Association Cervix Cancer and Pregnancy: About Eight Cases at Aristide Ledantec Hospital, Dakar, Senegal

Diallo¹

2019

JGWH

View full text Add to dashboard Cite

show abstract

“…It is well known that ionizing radiation is deleterious to the fetus [19]. The recommended assessment of extension therefore includes an abdominal and pelvic ultrasound to evaluate the liver and the urogenital tract, an abdominal and pelvic MRI to determine tumor size, extension to neighboring organs and the existence of possible lymph node [1] [20] [21].…”

Section: Assessment Of Extensionmentioning

confidence: 99%

Management of Pregnant Women with Invasive Cervical Cancer about Ten Cases

Diabaté¹,

Bakkali²,

Lachgar³

et al. 2018

JCT

View full text Add to dashboard Cite

The purpose of this study was to update the management of invasive cervical cancers diagnosed during pregnancy. Patients and methods: This study was performed retrospectively at radiotherapy department of National Institute of Oncology Rabat Morocco. From 01/04/2005 to 31/05/2010, ten patients with invasive cervical cancer during pregnancy were included. Results: Ten patients were included in the study. The staging was as follow: stage IIIB (n = 4); stage IIB (n = 2) and stage IB2 (n = 4). The radical abdominal hysterectomy with pelvic lymphadenectomy was performed in five patients; a therapeutic interruption of pregnancy was performed in four patients. One pregnancy has resulted in the birth of a living child (by cesarean section). Adjuvant treatment was concomitant chemoradiotherapy followed by low dose rate (LDR) brachytherapy in three patients; adjuvant concomitant chemoradiotherapy followed by high dose rate (HDR) brachytherapy was performed in four patients; a HDR brachytherapy was done in one patient. Two patients have received an exclusive external radiotherapy. After a median follow-up of 4 years (2 -7 years), there were bone and lung metastases in one patient. Nine patients are alive after completed treatment. Conclusion: Our series focused on ten patients with invasive cervical cancer during pregnancy. Management is complex and requires discussion in a multidisciplinary meeting. Routine screening of cervical cancer and awareness are the key point to improve the treatment and survival rate of patients. The management of all cases is according to international recommendations.

show abstract

Prise en charge des volumineux cancers invasifs du col de l’utérus pendant la grossesse

Cited by 8 publications

References 52 publications

Prise en charge du cancer du col utérin durant la grossesse: à propos de 05 cas

Prise en charge du cancer du col utérin durant la grossesse: à propos de 05 cas

Association Cervix Cancer and Pregnancy: About Eight Cases at Aristide Ledantec Hospital, Dakar, Senegal

Management of Pregnant Women with Invasive Cervical Cancer about Ten Cases

Contact Info

Product

Resources

About