Abstract
Objective To present a rare case of anal squamous cell carcinoma (SCC) in a young pregnant
woman.
Material and Methods The information was collected based on the clinical record after obtaining the informed
consent of the patient.
Results This is the case of a 34-year-old pregnant woman with stage IIIB anal SCC. She was
treated with chemotherapy before delivery, followed by cesarean section and chemoradiotherapy
after birth. The patient experienced complete clinical and imaging regression after
treatment, but she presented early tumor regrowth requiring abdominoperineal amputation,
with negative surgical margins.
Discussion The treatment of anal cancer in pregnant women is based on a multidisciplinary approach,
adapting current clinical guidelines. It establishes a challenge from an ethical point
of view that must consider the impact on the health of the mother and the fetus. Anal
screening in carriers of cervical pathology due to papilloma virus would be a good
tool for early detection.
Keywords
anal cancer - pregnancy - squamous cell carcinoma - cervical dysplasia - papillomavirus
infection
