Onkologie. 2024:18(5):300-304 | DOI: 10.36290/xon.2024.062

Incidental finding of cervical adenocarcinoma after complication of caesarean section

František Velčický^{1, 2}, Monika Náležinská^{1, 2}, Jiří Nagy³, Josef Chovanec^{1, 2}

¹ Oddělení gynekologické onkologie Kliniky operační onkologie Masarykova onkologického ústavu, Brno

² Oddělení gynekologické onkologie Kliniky operační onkologie, Lékařská fakulta Masarykovy univerzity, Brno

³ Gynekologicko-porodnické oddělení, Nemocnice Milosrdných bratří, Brno

Carcinoma of the uterine cervix is the most frequent malignant disease diagnosed in pregnant women. Most cases are early carcinomas due to cervical screening methods (PAPP smear, HPV DNA testation and colposcopy). However sometimes the results of the examination are unclear due to the physiological pregnancy associated changes of the cervical epithelium (squamous of the vaginal portion and columnar of the cervical canal). Cervical cancer complicating pregnancy is a specific clinical situation, that requires individual approach, multidisciplinary experienced team of specialists in gynaecological oncology and in obstetrics, respecting the opinion of the pregnant woman. Placenta accreta represents the most frequent type of abnormally adherent placenta, where placental villi are attached to the myometrium. Placenta accreta may be ultrasonically diagnosed antepartum. The main etiological factors are previous caesarean section scar (or other previous uterine incisions, uterine curettage) and older age of pregnant women.

Keywords: adenocarcinoma of the uterine cervix, pregnancy, obstetrical hemorrhage, life-threatening obstetrical hemorrhage, abnormally adherent placenta - placenta accreta.

Accepted: November 18, 2024; Published: November 28, 2024  Show citation