Vulval cancer in pregnancy: Two case reports.
Gaunt, Ellen Yap, Jason
Gaunt, Ellen
Yap, Jason
Abstract
Vulval cancer is rare in women of reproductive age. We report two cases of vulval squamous cell carcinoma (VSCC) in pregnancy. They presented with a solitary labial mass, at 20 and 21 weeks of gestation, diagnosed as stage 1B VSCC based on clinical examination and cross-sectional imaging. In the first case, the patient underwent close clinical surveillance whilst pregnant and had an elective caesarean section at 39 weeks of gestation. Two months post-partum she underwent a radical anterior vulvectomy and bilateral groin sentinel lymph node biopsy. In the second case, the patient underwent an anterior vulvectomy at 33 weeks of gestation followed by a vaginal delivery at 37 weeks of gestation. Six weeks post-natally she had bilateral groin sentinel lymph node biopsies. We conclude that surgical resection is safe during pregnancy under spinal anaesthesia but it can be deferred until the post-partum period if the cancer presents at early stage.
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Date
2021-12-11
Type
Article
Subject
Gynaecology
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Citation
Gaunt E, Pounds R, Yap J. Vulval cancer in pregnancy: Two case reports. Case Rep Womens Health. 2021 Dec 11;33:e00374.
Journal / Source Title
Case Reports in Women's Health
DOI
10.1016/j.crwh.2021.e00374
PMID
34993054
Publisher
Elsevier