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Cervical cancer screening in pregnancy
Kathleen McIntyre-Seltman1, Jamie L Lesnock
1Magee Gynecologic Cancer Program, 300 Halket Street, Pittsburgh, PA 15213, USA. kmcintyre-seltman@magee.edu
Obstetrics and Gynecology Clinics of North America
|December 9, 2008
Summary
Cervical cancer is the most common cancer diagnosed in pregnant women, with abnormal Pap test results being as common as in non-pregnant individuals. This review covers the diagnosis and management of cervical dysplasia and cancer during pregnancy.
Area of Science:
- Obstetrics and Gynecology
- Oncology
- Maternal Health
Background:
- Cervical cancer is the most frequent malignancy diagnosed during pregnancy.
- Approximately 3% of new cervical cancer cases occur in pregnant women.
- Routine prenatal care includes cervical cancer screening, contributing to its detection during pregnancy.
Purpose of the Study:
- To review the existing literature on the diagnosis of cervical dysplasia and cancer in pregnant women.
- To outline current management strategies for cervical cancer diagnosed during pregnancy.
Main Methods:
- Comprehensive literature review of studies on cervical cancer in pregnancy.
- Analysis of diagnostic methods and treatment protocols.
- Synthesis of findings on prevalence and outcomes.
Main Results:
- The prevalence of abnormal Pap test results in pregnant women is similar to age-matched non-pregnant populations.
- Up to 20% of pregnant women may present with abnormal Pap test results.
- Cervical cancer screening is a routine part of prenatal care.
Conclusions:
- Early detection and appropriate management are crucial for cervical cancer in pregnancy.
- Management strategies must balance maternal health with fetal well-being.
- Further research is needed to optimize care for this population.
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