IA1 microinvasive cervical adenocarcinoma in a young woman: conservative procedure and reproductive outcome / Adenocarcinoma microinvasor IA1 do colo do útero em mulher jovem: conduta conservadora e resultado reprodutivo
to report the conservative management and follow-up difficulties of a real case of microinvasive cervical adenocarcinoma in a young woman. Case report This is a case report of a 23-yearold patient with stage IA1 microinvasive cervical adenocarcinoma related to HPV18. The patient was vaccinated against HPV 16/18 at 16 years of age and conservatively treated. She became pregnant during follow-up with a favorable outcome.
Conclusion:
We discuss the difficulties and uncertainties regarding follow-up and opportunity for hysterectomy, emphasizing the need for a multidisciplinary approach to make a balanced decision between conservative treatment and oncological safety, as well as mitigate follow-up difficulties in real life.
São discutidas as dificuldades e incertezas em relação ao seguimento e à oportunidade para histerectomia, ressaltando a necessidade de abordagem multidisciplinar para decisões equilibradas entre tratamento conservador, segurança oncológica e, ainda, amenizar as dificuldades de seguimento na vida real.