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[Conisation and pregnancy (author's transl)]

H Schlegel, K Kühndel

    Zentralblatt Fur Gynakologie
    |January 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    Management of pathological cervical smears in pregnant women involves specialized diagnosis and a tailored treatment approach. Delaying treatment like conization is possible with regular monitoring, but invasive growth requires immediate intervention.

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    Area of Science:

    • Gynecology
    • Obstetrics
    • Oncology

    Background:

    • Cervical cancer screening is crucial for early detection of precancerous conditions.
    • Pregnant women with abnormal cervical smears require careful diagnostic and therapeutic management.
    • Specialized outpatient practice facilitates a differentiated approach to these cases.

    Observation:

    • Out of 93 pregnant women with pathological cervical smears, 6 underwent conization during pregnancy and 41 postpartum.
    • Three women required postpartum hysterectomy due to additional gynecological indications.
    • 43 patients were closely monitored, including three with residual dysplasia post-conization.

    Findings:

    • Specialized diagnosis, incorporating colposcopy, differential cytology, and microbiopsy, enables a differentiated approach, especially in high-risk pregnancies.

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  • Postponing conization until after delivery or completion of childbearing is feasible for intraepithelial cervical neoplasia if regular follow-up is maintained, owing to its long latency.
  • Immediate treatment is imperative upon detecting invasive cervical growth, even during pregnancy.

    • Implications:

    • A specialized, individualized management strategy is effective for pregnant women with abnormal cervical cytology.
    • Timely intervention for invasive cervical cancer during pregnancy can improve outcomes.
    • Conservative management with close surveillance for pre-invasive lesions allows for deferred treatment, preserving reproductive potential.