eISSN: 1897-4309
ISSN: 1428-2526
Contemporary Oncology/Współczesna Onkologia
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SCImago Journal & Country Rank
4/2021
vol. 25
 
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abstract:
Case report

Coexistence of a ruptured ectopic pregnancy and cervical cancer: how to avoid a diagnostic error when the same symptoms present two different diagnoses

Kamila Kaźmierczak
1
,
Witold Cholewiński
2
,
Błażej Nowakowski
1

  1. Surgical, Oncological and Endoscopic Gynaecology Department, Greater Poland Cancer Centre, Poznań, Poland
  2. Nuclear Medicine Unit, Greater Poland Cancer Centre, Poznań, Poland
Contemp Oncol (Pozn) 2021; 25 (4): 295–297
Online publish date: 2022/01/04
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An ectopic pregnancy occurs in approximately 0.5–2% of all pregnancies. The number of cases of cervical cancer in women under 30 years of age in Poland is less than 100 cases per year. The case presented herein concerns a rare clinical situation of a 29-year-old woman admitted to the Gynaecological Oncology Department with a diagnosis of cervical cancer. The main symptom resulting in the patient’s referral was ascites. The presence of free fluid in the peritoneal cavity in patients diagnosed with a malignant tumour suggests a high degree of progression of the underlying disease, though this could not be confirmed in a clinical study in this case. An interview, examination, and laboratory tests confirmed a coexisting life-threatening ruptured tubal pregnancy. The consequences of not recognising both an ectopic pregnancy and cervical cancer in a patient presenting with nonspecific clinical symptoms could pose a serious threat to health and life.
keywords:

ectopic pregnancy, cervical cancer, ascites

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