PMID: 2123562Dec 1, 1990Paper

Management of low-grade cervical dysplasia during pregnancy

Southern Medical Journal
B Patsner

Abstract

Fifty-five pregnant patients referred to my colposcopy service from 1985 to 1990 for biopsy-proven mild dysplasia were entered into a program of serial evaluations, including Pap test, colposcopy, and directed biopsy if indicated. The evaluations were done every 12 weeks during pregnancy and at 6 weeks postpartum to rule out new or occult invasive cervical cancer. By the time the postpartum biopsy was done, no such cancer had been detected. All 55 patients had mild dysplasia or less. I conclude that pregnant patients with biopsy-proven mild cervical dysplasia who have had adequate expert colposcopy and results of Pap test consistent with biopsy require only one antepartum colposcopy prior to postpartum reevaluation and treatment. Multiple interval cytologic and colposcopic studies with or without biopsy are unnecessary. The likelihood of invasive cervical cancer developing in these patients during pregnancy is negligible.

Citations

Oct 20, 2006·Journal of Lower Genital Tract Disease·T S DunnB Beaty
Oct 20, 2006·Journal of Lower Genital Tract Disease·Jennifer A EversonJohn R Lurain
Jul 27, 2005·Journal of Lower Genital Tract Disease·Stewart L MassadEdward Wilkinson
Oct 28, 2011·Clinical Obstetrics and Gynecology·Nora T Kizer, Matthew A Powell
Jun 25, 2009·Journal of Lower Genital Tract Disease·Luisa A WettaJ Michael Straughn
Jun 18, 2005·Clinical Medicine & Research·Thomas P Connolly, A C Evans
Jan 15, 2008·Journal de gynécologie, obstétrique et biologie de la reproduction·L Selleret, P Mathevet
Dec 9, 2008·Obstetrics and Gynecology Clinics of North America·Lori A Boardman, Colleen M Kennedy
Aug 1, 1997·American Journal of Obstetrics and Gynecology·A G JainM J Boyle
Jul 14, 1998·American Journal of Obstetrics and Gynecology·D AhdootG S Rose
Oct 26, 2011·Gynecologic and Obstetric Investigation·Sue Min ChungJa Young Kwon
Aug 12, 2016·International Journal of Gynecological Pathology : Official Journal of the International Society of Gynecological Pathologists·Junji MitsushitaAkira Tanaka

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