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Pregnant women have cervical cancer when they are 4 months pregnant

March 15, 2022 at the On-Demand Treatment Department – K Hospital will surely be a day that pregnant woman Nguyen Thi Viet H. (31 years old) and her family will never forget when the doctors said they had examined and worked. The results showed that she had “cervical cancer, retrograde vaginal tumor” during the second pregnancy.

Vaginal bleeding is continuous, the pregnant woman detects cervical cancer when she is 4 months pregnant - Photo 1.

Doctors of the National Hospital of Obstetrics and Gynecology and Hospital K carried out surgery to “catch the baby” and radical hysterectomy for women with cervical cancer. Photo: BVCC

The doctors conducted in-hospital and inter-hospital consultations with the Central Hospital of Obstetrics and Gynecology to come up with a treatment plan for the patient, including intravenous fluids and antibiotics, hemostasis, and blood transfusion (4 units of HCK 350 ml) in from March 15 to April 27, 2022.

Taking the patient’s history, Ms. H. discovered that she was pregnant at the 3rd month, but she did not go to the doctor periodically when she saw vaginal bleeding. When the bleeding lasted for a long time, she went to Hai Phong Obstetrics and Gynecology Hospital and discovered that she had a cervical tumor at 4 months of pregnancy. After that, she went to K Hospital for a checkup.

After receiving care and monitoring at K Hospital, the health of pregnant woman H. has improved, but is still regularly monitored to give the best treatment plan to ensure 2 problems: “trying to maintain maintained to maximize the length of the 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 tumor size of 92 * 78 mm with irregular strong enhancement after injection, invading 1/3 of the vagina, still clearly demarcating the rectum and bladder. radiolucent, 6mm left iliac lymph node, poor enhancement after injection and 1 intrauterine pregnancy. Histopathological results showed mucinous adenocarcinoma.

Fetal ultrasound on May 19, 2022 at the National Hospital of Obstetrics and Gynecology, the patient was 33 weeks and 3 days pregnant, fetal heart rate 130 l/min, estimated fetal weight 1,928 g, cervical tumor 108 * 91 mm.

Vaginal bleeding is continuous, the pregnant woman detects cervical cancer when she is in the 4th month of pregnancy - Photo 2.

After birth, the baby was put in an incubator to be transferred to the National Hospital of Obstetrics and Gynecology for further care and monitoring. Photo: BVCC

Inter-hospital doctors ‘catch children’ from cancer mother…

From April 28 to May 26, pregnant woman H. received protein and blood transfusion (1HCK 350 ml) at the Emergency Department of K Hospital. Currently, on the morning of May 27, the patient is awake. , good contact, stable hemodynamics, pale pink skin and mucous membranes, mechanical pregnancy, 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 from the two hospitals collaborated to perform cesarean section and radical hysterectomy for the baby. sub H.

The surgical team includes doctors from K Hospital and National Hospital of Obstetrics and Gynecology: Assoc. Tran Danh Cuong, Director of the Central Obstetrics and Gynecology Hospital, Dr. BS Le Tri Chinh, Head of the Department of Surgery and Gynecology, K Hospital had cesarean section and radical hysterectomy, a baby boy weighing 2,000 grams was born.

Post-operative evaluation of both mother and child showed positive signs. The baby was transferred to the National Hospital of Obstetrics and Gynecology 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”Dr. Chinh said.

Mr. Dang The S. – husband of pregnant woman H. expressed his emotion and thanked the doctors of the two hospitals for their best efforts in successful surgery for mother and daughter.

“I don’t know what to say other than to thank the doctors at this time, my wife’s treatment journey may be long but the start has been a blessing as the baby is healthy and the mother is stable. The family will encourage each other to try, hope my wife will overcome the illness soon to take care of the children “- Mr. S. said.

According to the doctors, the case of pregnant woman H. was fortunately discovered when the disease was in the early stages of pregnancy, so the doctors of the two hospitals were proactive in closely monitoring the tumor progression of the patient. The mother, trying her best to extend the maximum week of the baby’s age, to give the most timely and effective plan.

The first operation was successfully carried out, the total hysterectomy and lymph node dissection after caesarean section was the optimal treatment option, ensuring oncology for the patient.

Vaginal bleeding continuously, the pregnant woman discovered cervical cancer when she was 4 months pregnant - Photo 4.

The baby left the operating room, away from the mother’s arms, to the National Hospital of Obstetrics and Gynecology for further care and monitoring. Photo: BVCC

The story of pregnant woman H. reminds many people of the “fairy tale in everyday life” of mother and daughter, pregnant woman Nguyen Thi Lien – who was unfortunately discovered to have late-stage breast cancer when she was pregnant.

Still the team of doctors from K Hospital and National Hospital of Obstetrics and Gynecology collaborated to successfully C-section the baby. So far, Ms. Lien’s health has progressed very well and the baby is also growing healthy.

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