Gynecology & Obstetrics
Open Access

Olesya Brandis

Publications

• Case Report
  Late Midtrimester Pregnancy, Advanced Bulky Cervical Cancer, Radiation Therapy, and Physician's Moral Distress: A Management Dilemma
  Author(s): Radha Malapati, Olesya Brandis, Sameer Sharma and Tuan M. NguyenRadha Malapati, Olesya Brandis, Sameer Sharma and Tuan M. Nguyen
  
  Background: Approximately 3% of cervical cancers are diagnosed during pregnancy, of which 75% are detected in early stages. The management may pose significant challenges because of the pregnant state. Case: We describe a case of rapidly progressing bulky cervical cancer complicating a late second trimester pregnancy. The case was successfully managed by induction of labor with misoprostol after induced fetal demise followed by radiation therapy with fetus in situ. Conclusion: In a late second trimester pregnancy complicated by rapidly progressing bulky cervical cancer, optimal outcome was achieved using a multidisciplinary approach. Fetal intra cardiac potassium chloride injection is helpful in the management of select cases... View More»
  DOI: 10.4172/2161-0932.1000114

  Abstract PDF

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