3 months pregnant was found to have cervical cancer, the mother stubbornly kept the baby

Only 3 months pregnant discovered cervical cancer

Patient Nguyen Thi Viet H. was admitted to the hospital on March 15, 2022 at the on-demand treatment department (Central K Hospital), with a diagnosis of cervical cancer, a retrograde vaginal tumor during pregnancy. 2nd.

Taking the patient’s history, she said she was pregnant at the 3rd month. Ms. H noticed vaginal bleeding but thought it was pregnancy so she didn’t go to the doctor.

It was only when the bleeding lasted for a long time that she went to Hai Phong Obstetrics and Gynecology Hospital and discovered that she had a cervical tumor at 4 months of pregnancy.

At the Central K Hospital, after performing the tests, Ms. H. was diagnosed with stage 2 cervical cancer. The doctors conducted consultations at the hospital and inter-inpatient with the Central Obstetrics and Gynecology Hospital. provide a treatment plan for the patient.

The patient received fluids and antibiotics, hemostasis, and blood transfusion during the period from March 15 to April 27, 2022. After receiving care and monitoring at K Hospital, the mother’s health improved, but she was still monitored regularly to give the best treatment plan.

The most important thing is to ensure 2 issues: trying to maintain the maximum length of pregnancy to help the fetus develop, ensure the mother’s health and closely monitor the growth of the tumor.

MRI results on April 20, 2022 showed that the patient had a 92X78 mm tumor, invading 1/3 of the vagina, clearly demarcating the rectum and bladder, 6mm left iliac lymph nodes and 1 fetus. in the uterine cavity;

Fetal ultrasound on May 19, 2022 at the National Hospital of Obstetrics and Gynecology, the patient is 33 weeks and 3 days pregnant, fetal heart rate is 130 l/min, estimated fetal weight is 1928 g, cervix has a tumor 108* 91 mm.

From April 28 to May 26, H. patient received protein and blood transfusion at the Emergency Department of K Hospital. At the moment, on the morning of May 27, the patient is awake, in good contact, Hemodynamically stable, skin and mucous membranes pale pink, fetal movement (+), no abnormal vaginal bleeding.

After consulting with doctors at the National Hospital of Obstetrics and Gynecology, on the morning of May 27, doctors who are leading experts in the two hospitals collaborated to perform cesarean section and radical hysterectomy. for Ms. H.

Baby boy weighing 2kg was born safely

The surgical team, consisting of doctors from K Hospital and the National Hospital of Obstetrics and Gynecology, collaborated to perform a cesarean section for the patient. A baby boy weighing 2kg was born safely. Post-operative evaluation of both mother and child showed positive signs. The baby was transferred to the Central Obstetrics and Gynecology Hospital for further care and monitoring.

After surgery, pregnant women are actively monitored, with a diagnosis of stage 2A cervical cancer, so the prognosis for treatment is very positive.

“The hospital cooperates with specialties to find the optimal solution for the patient, the patient will continue to be closely monitored after today’s surgery,” said Dr. Le Tri Chinh, Head of the Department of Surgery and Gynecology (K Hospital). Central), people who treat and participate in cesarean sections for patients share.

According to Dr. Chinh, the case of patient H was fortunately discovered in the early stages of pregnancy, so the doctors of the two hospitals were proactive in closely monitoring the mother’s tumor progression. .

At the same time, try our best to extend the maximum week of the baby’s age, to give the most timely and effective plan. The first caesarean section was successfully carried out, the removal of the entire uterus and lymph node dissection after the caesarean section was the optimal treatment plan to ensure the patient’s health.

Previously, in 2019, the Central Hospital K and the National Hospital of Obstetrics and Gynecology also successfully combined a cesarean section after 1 period of treatment for a woman with late-stage cancer, Ms. Nguyen Thi Lien (born in Ly Nhan, Ha Nam). Up to now, the health of Ms. Lien and her child, Binh An is still very healthy.