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Sep 12, 2019

The Annual Global Meeting of the International Gynecologic Cancer Society

CERVICAL ECTOPIC PREGNANCY IN A PATIENT SUSPECTED WITH CERVICAL CANCER: A CASE REPORT

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ectopic pregnancy

cervical pregnancy

methotrexate

Abstract

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Abstract

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Keywords

ectopic pregnancy

cervical pregnancy

methotrexate

Abstract

Background and aims: Ectopic pregnancy (EP) is one of obstetrics challenge which is associated with high mortality and morbidity. Cervical pregnancy occurs in less than 0.1% of pregnancies, and less than 1% of all EP. Although extremely rare, it is potentially life-threatening, due to delays in diagnosis and proper management. We aim to discuss a case of cervical ectopic pregnancy which was mistaken as neoplasm. Case: This is a case report presenting a 32 yo female with profuse vaginal bleeding. She was referred from a clinician with diagnosis severe anemia and intracervical mass. She admitted positive pregnancy test, of which was pronounced miscarried by the clinician 1 month prior to admission. Our vaginal examination revealed a fragile and easy to bleed cervical mass which was really suggestive of cervical carcinoma or cervical extension of gestational neoplasm. Ultrasound was inconclusive. Magnetic resonance imaging showed cervical mass, which was later confirmed as conception by cervical biopsy. Methotrexate therapy was given 4 times (1 mg/kgBW). MRI evaluation afterward showed complete resolution. Conclusion: The low incidence of cervical pregnancy in contrary with cervical carcinoma’s incidence in Bali becomes a major obstacle in diagnosing and in the provision of therapy. An accurate history, physical examination and pregnancy test are key modalities in the determination of cervical pregnancy, supported by histopathologic examination, TVS ultrasound examination and MRI.

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© Copyright 2019 Morressier GmbH.
All rights reserved.