Clear cell adenocarcinoma of the uterine cervix in an 18 year-old pregnant female

Clear cell adenocarcinoma of the uterine cervix is a rare tumor accounting for only 4% of adenocarcinoma of the cervix (Hiroyuki et al., 2003). Cervical cancer is the most common gynecologic malignancy encountered in pregnancy. Overall, up to 3% of cervical cancers are diagnosed during a pregnancy (Nguyen et al., 2000). Despite the relative frequency of cervical cancer in pregnancy, there has been a dearth of prospective trials to determine the proper management of this circumstance, and we have found only one published report of clear cell carcinoma in pregnancy. It is a common practice to delay diagnostic surgery until the second trimester, and where possible, to delay definitive treatment until maturity of the infant.