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Background. Villoglandular papillary adenocarcinoma (VPA)- is a rare subtype of adenocarcinoma of the uterine cervix. A conservative surgical approach is considered feasible. Only three cases of VPA and pregnancy have been reported. Case. A 34- year- old asymptomatic woman was diagnosed of a well differentiated VPA without extracervical spread of the disease. A cold knife conization was performed. Five years later, the patient became pregnant. The pregnancy developed without complications and was finished with a caesarean delivery, due to nonreassuring fetal status. A healthy child was born. Last control 8 years later showed no evidence of disease. Conclusions. A suc-cessful pregnancy can be completed in patients with VPA without lymph- vascular invasion treated in a conservative way. This management is particularly desirable in young women to preserve reproductive capability.
A conservative surgical approach is considered feasible. Only three cases of VPA and pregnancy have been reported. Case. A 34- year- old asymptomatic woman was diagnosed of a well differentiated the disease. A cold knife conization was performed. Five years later, the patient became pregnant. The pregnancy developed without complications and was finished with a caesarean delivery, due to nonreassuring fetal status. A healthy Child was born. Last control 8 years later showed no evidence of disease. Conclusions. A suc-cessful pregnancy can be completed in patients with VPA without lymph- vascular invasion treated in a conservative way. This management is particularly desirable in young women to preserve reproductive capability.