Precancerous cervical lesions during pregnancy: diagnostic and treatment

Journal de gynécologie, obstétrique et biologie de la reproduction
L Selleret, Patrice Mathevet

Abstract

The rate of CIN discovered during pregnancy is around 1%. Pregnancy should be a period for the checking of pap-smear. So a pap-smear should be performed if the last one is more than two years old. If the pap-smear is less than two years old, a copy of its result should be obtained. The cervical cytology is valid during pregnancy, and usually pregnancy induced an opening of the junction zone that helps to have a good evaluation of the cervix. When atypical cells are found in the pap-smear performed during pregnancy, the management should include a colposcopy and biopsies, whatever the severity of the abnormal cells (ASC-US, ASC-H, AGC, LBG, LHG, invasive carcinoma). The biopsy should be guided by the colposcopy. Biopsy is required for an optimal diagnosis. The management of the pregnant patient should be based on the results of cytology, and colposcopy and biopsies. Currently there is no indication for HPV-typing during pregnancy. If an invasive tumor is excluded after cytology, and colposcopy and biopsy, no treatment is performed during pregnancy, and the treatment is postponed after delivery following a complete cervical reevaluation. If an invasion cannot be excluded with the biopsy; a diagnostic conization completed with a c...Continue Reading

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Citations

Oct 16, 2015·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·K GungordukM F Köse
Jan 16, 2013·Asian Pacific Journal of Cancer Prevention : APJCP·Ayten Dinc
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Jul 6, 2020·Sexual & Reproductive Healthcare : Official Journal of the Swedish Association of Midwives·Léa KervellaAnne Rousseau

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