Cervical cancer in pregnancy

Question 1

How should it be staged?

Answer 1

Using MRI

CT chest if there is a high suspicion of lung or pleural spread

For now, not for surgical LN staging

Question 2

Treatment options for cervical cancer in pregnancy

Answer 2

Avoid trachelectomy

NACT after discussion at MDT - usually carboplatin

Question 3

MOD?

Additional complications of delivery by vaginal delivery

Answer 3

Preferable to have CS if still visible tumour

Cancer cell implantation in to episiotomy scar
Infection
Haemorrhage