Cervical carcinoma in pregnancy

A 27 year old pregnant lady , married for 4 years,para2,at 37 weeks of gestation presented to the outpatient clinic in katihar medical college and hospital with chief complaints of vague abdominal pain.on per speculum examination a reddish ulcerative growth on cervix filling the vagina was found.punch biopsy was done and the histopathological report showed well differentiated squamous cell carcinoma.No signs of spread of cancer,local or nodal metastasis was seen. ( stage 1a).The patient was managed by classical cesarean section followed by total abdominal hysterectomy and bilateral salpingooophorectomy.The histopathological report showed stromal invasion of 3mm in depth and 6mm laterally (FIGO stage 1a1).postoperative period was uneventful and later she was referred to Mahavir cancer sansthan where she received cycles of radiotherapy and chemotherapy. Thereafter the treatment discontinued.