Introduction/Background Cervical carcinoma can be sometimes diagnosed in pregnant women and radical treatment may need to be performed.

Results A cervical carcinoma was diagnosed in a 36-year-old twin pregnant woman in the 15th week of pregnancy. An MRI scan revealed minimal foci of hyperintense signals in DWI without any clear image of a solid lesion. One month after the diagnosis, conisation, and a cervical cerclage were undertaken at the same surgical act. The histological examination revealed a moderately differentiate endocervical adenocarcinoma, histological grade 2, plus compromise of the resection margin, pTNM pT1b1 FIGO IB1. Taking all the results into account, after discussion at the interdisciplinary tumour board, to keep the pregnancy until the 32nd week was accorded with the patient. Finally, after previous foetal lung maturation with Betamethasone, a caesarean section was carried out in the 34th week, and two alive feminine infants were born. A Wertheim Meigs Hysterectomy followed the same surgical act. The surgical piece showed in situ endocervical adenocarcinoma without lymphovascular invasion nor affection of the iliac lymph node. No adjuvant therapies needed to be performed. Over 2 years after the surgery, recent CT scans show no cancer relapse and both mother and daughters are in good health.

Conclusion Conisation plus cerclage can be a good solution for pregnant woman, especially if twin pregnancy or history of cervical incompetence. Sometimes, though, hysterectomy may need to be performed as soon as possible, for example, at the same c section act.

Disclosures The author or authors declare that they have no conflict of interest with respect to the author or publication of this article.