Treatment of Stages II, III, and IV Cervical Cancer During Pregnancy

For patients with stage II or greater disease, delaying treatment until fetal viability is generally not appropriate.[1] The standard of care is curative-intent chemotherapy and radiation therapy. This treatment is toxic to the fetus and, without ovarian transposition, will render the ovaries nonfunctional after treatment. Evacuation of the fetus should be performed before radiation therapy is initiated. When this is not possible, the radiation will generally cause a spontaneous abortion 3 to 5 weeks after initiating treatment.