Successful term delivery following conservative management for villoglandular papillary adenocarcinoma of the uterine cervix: A case report

Abstract

Background. Villoglandular papillary adenocarcinoma (VPA) is a rare subtype of adenocarcinoma of the uterine cervix. A conservative surgical approach is considered feasible. Only three cases of VPA and pregnancy have been reported.

Case. A 34-year-old asymptomatic woman was diagnosed of a well-differentiated VPA without extracervical spread of the disease. A cold knife conization was performed. Five years later, the patient became pregnant. The pregnancy developed without complications and was finished with a caesarean delivery, due to nonreassuring fetal status. A healthy child was born. Last control 8 years later showed no evidence of disease.

Conclusions. A successful pregnancy can be completed in patients with VPA without lymph-vascular invasion treated in a conservative way. This management is particularly desirable in young women to preserve reproductive capability.