Even though endometrium cancer is the most common cancer of the female reproductive tract, cancer occurs very rarely during pregnancy. A 45-year-old gravida 4 para 3 patient presented with abnormal vaginal bleeding and 8 weeks of pregnancy. The ultrasonographic evaluation revealed a disordered gestational sac with an 8 weeks embryo with no heart beat. The pathological examination of the dilatation and curettage material revealed chorionic villi and fetal material with a small focus of well-differentiated endometrial adenocarcinoma (Fig. 1). The patient completed her fertility and agreed with the decision of her family; a complete surgical staging procedure was performed. Final pathology report showed grade 1 FIGO stage 1A endometrial adenocarcinoma.
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机译:尽管子宫内膜癌是女性生殖道最常见的癌症,但在怀孕期间很少发生癌症。一名45岁的gravida 4 para 3患者表现出异常的阴道出血和怀孕8周。超声检查显示妊娠囊紊乱,胚胎有8周,无心跳。对扩张和刮宫材料进行病理检查发现,绒毛膜和胎儿材料具有高度分化的子宫内膜腺癌(图1)。患者完成了生育,并同意了家人的决定;进行了完整的手术分期程序。最终的病理报告显示,FIGO为1A期1A期子宫内膜腺癌。
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