Related Experiment Videos
[Atypical cytologic findings in pregnancy]
E M Schindler1, M Brielmaier, A E Schindler
1Universitäts-Frauenklinik Tübingen.
Geburtshilfe Und Frauenheilkunde
|July 1, 1993
Summary
Cervical dysplasia and precancerous lesions, including cancer, are increasingly detected in pregnant women, often incidentally. Management involves careful monitoring with cytology and colposcopy, with biopsies and conization considered for advanced cases.
Area of Science:
- Gynecologic Oncology
- Obstetrics
- Pathology
Context:
- Cervical dysplasia and precancerous lesions pose unique challenges during pregnancy.
- The study analyzes clinical data from 1970-1984 at the University of Tübingen.
Purpose:
- To demonstrate the clinical significance, frequency, and etiological factors of cervical dysplasia in pregnancy.
- To present diagnostic and therapeutic guidelines for managing these lesions during gestation.
Summary:
- A study of 168 pregnant patients revealed a significant incidence of cervical abnormalities, including carcinoma in situ and invasive cancer.
- Many dysplastic lesions were found incidentally due to limited screening participation.
- Precancerous lesions, even advanced stages, increased during pregnancy, with a trend towards younger women.
Impact:
- Findings confirm known risk factors for cervical abnormalities.
- Recommends observation for Pap III/IIID, careful monitoring with biopsy for Pap IVa/b, and conization for doubtful findings.
- Suggests that intervention can often be delayed until after delivery if invasion is excluded.