Journal of Gynecology and Womens Health

Advanced Uterine Cervix Squamous Cell Carcinoma in 17 Year Old Adolescent -Case Report

Author: Rodrigo Renee Ferreira

Published: January 28, 2018

DOI: 10.19080/JGWH.2018.08.555734

Abstract Content: Introduction: Cervical cancer is the third most frequent tumor in the female population worldwide and fourth cause of death of women from cancer in Brazil. Natural history of cervical cancer usually presents a long period of precursor lesions, asymptomatic evolution, but is curable in most cases, if detected early. Case: This report describes the diagnosis and management of the case of a 17 year old girl with advanced invasive squamous cell cancer of the uterine cervix. The patient presented intermittent vaginal bleeding for seven months with foul odor, accompanied by dyspareunia and intercourse bleeding. Prior to treatment with 26 sessions of radiotherapy and six sessions of chemotherapy and three sessions of brachytherapy, she was submitted to oophoropexy in the attempt to preserve the ovaries due to the patient’s age and minimize the damage in fertility due to radiotherapy and brachy therapy. After an initial satisfatory response with regard to lesion decrease and bleeding improvement there was tumor relapse, when it was decided, that the patient should be submitted to total exenteration, but she died three months later. An immune histochemical study found HPV subtypes 6, 11, 16 and 18. Conclusion: This case report signalizes that, although advanced cervical cancer in very young women is rare, it should be regarded as possible and only its early diagnosis may prevent catastrophic outcomes like that.