Background: This study aims to investigate clinicopathological factors associated with survival rate and treatment of patients with cervical cancer during pregnancy (CCP). Methods: A total of 92 patients diagnosed CCP were retrospectively reviewed. One patient was from Nanfang Hospital of Southern Medical University, 5 patients were from Tongji Hospital, and 86 patients were from case reports in the PubMed database from 1961 to 2019. Patients and tumor characteristics were evaluated. Kaplan-Meier and Cox regression methods were used to analyze the 5-year disease-specific survival (DSS). Results: Most patients (73 cases) were stage I according to the 2018 International Federation of Gynecology and Obstetrics (FIGO) standards. Twelve patients (13.04%) terminated pregnancy once diagnosed. These patients were diagnosed at the mean gestational age (GA) of 11 +/- 3 weeks, during early pregnancy. For the rest of the patients (80 cases) who continued pregnancy, the mean GA was 35 +/- 2 weeks at delivery. There was a significant difference in survival whether the treatment was performed once diagnosed or not. The 5-year DSS was 75% in adenocarcinoma (AC), 68.5% in squamous cell carcinoma (SCC), and 43.7% in the rare subtype. Among the 38 patients who underwent neoadjuvant chemotherapy (NACT), one patient suffered from spontaneous abortion, and one baby experienced acute myeloid leukemia (AML) exFAB (French-American-British)-M7 subtype and received bone marrow transplantation. Other delivered newborns showed no abnormality or malformation. Cox multi-factorial analysis demonstrated that tumor size (2 cm) was an independent overall survival predictor for CCP patients (P<0.05). Conclusions: Tumor size was an independent prognostic factor of survival in CCP patients. Pregnancy has adverse effects on the prognosis of cervical cancer. Personalized treatment is a priority for CCP patients.
基金:
National Natural Science Foundation of ChinaNational Natural Science Foundation of China (NSFC) [81672589, 81372871, 81072132]; Shenzhen Science and Technology Program [JCYJ20160429161218745]; National Key Research and Development Program of China [2016YFC1302900]
第一作者单位:[1]Guangzhou Med Univ, Affiliated Hosp 1, Dept Gynecol & Obstet, Guangzhou 511436, Guangdong, Peoples R China[2]Peoples Hosp Three Gorges Univ, Dept Obstet & Gynecol, Yichang 443000, Peoples R China
通讯作者:
推荐引用方式(GB/T 7714):
Ma Jing,Yu Lau,Xu Fan,et al.Treatment and clinical outcomes of cervical cancer during pregnancy[J].ANNALS OF TRANSLATIONAL MEDICINE.2019,7(11):doi:10.21037/atm.2019.04.76.
APA:
Ma, Jing,Yu, Lau,Xu, Fan,Yi, Hongyan,Wei, Wenfei...&Fan, Liangsheng.(2019).Treatment and clinical outcomes of cervical cancer during pregnancy.ANNALS OF TRANSLATIONAL MEDICINE,7,(11)
MLA:
Ma, Jing,et al."Treatment and clinical outcomes of cervical cancer during pregnancy".ANNALS OF TRANSLATIONAL MEDICINE 7..11(2019)