Late Midtrimester Pregnancy, Advanced Bulky Cervical Cancer, Radiation Therapy, and Physician's Moral Distress: A Management DilemmaRadha Malapati*, Olesya Brandis, Sameer Sharma and Tuan M. Nguyen
Department of Obstetrics and Gynecology, John H. Stroger Jr. Hospital of Cook County, USA
- *Corresponding Author:
- Radha Malapati
Associate Residency Program Director
Medical Co-Director of Obstetrics
Department of Obstetrics and Gynecology
John H. Stroger Jr. Hospital of Cook County, USA
Tel: 312-864- 1259
E-mail: [email protected]
Received date: February 21, 2012; Accepted date: March 05, 2012; Published date: March 09, 2012
Citation: Malapati R, Brandis O, Sharma S, Nguyen TM (2012) Late Midtrimester Pregnancy, Advanced Bulky Cervical Cancer, Radiation Therapy, and Physician’s Moral Distress: A Management Dilemma. Gynecol Obstetric 2:114. doi: 10.4172/2161-0932.1000114
Copyright: © 2012 Malapati R, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Background: Approximately 3% of cervical cancers are diagnosed during pregnancy, of which 75% are detected in early stages. The management may pose significant challenges because of the pregnant state.
Case: We describe a case of rapidly progressing bulky cervical cancer complicating a late second trimester pregnancy. The case was successfully managed by induction of labor with misoprostol after induced fetal demise followed by radiation therapy with fetus in situ.
Conclusion: In a late second trimester pregnancy complicated by rapidly progressing bulky cervical cancer, optimal outcome was achieved using a multidisciplinary approach. Fetal intra cardiac potassium chloride injection is helpful in the management of select cases.