| Title | Cervical neoplasia in pregnancy. Part 1: screening and management of preinvasive disease. | | Author(s) | Hunter MI, Monk BJ, Tewari KS | | Institution | Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, University of California, Irvine, Irvine, CA 92868, USA. | | Source | Am J Obstet Gynecol 2008 Jul; 199(1):3-9. | | MeSH | Cervical Intraepithelial Neoplasia
Cervix Uteri
Conization
Female
Humans
Mass Screening
Neoplasm Staging
Pregnancy
Pregnancy Complications, Neoplastic
Uterine Cervical Neoplasms
| | Abstract | Cervical cancer screening is an essential component of prenatal care. The diagnosis and management of cervical intraepithelial neoplasia (CIN) during pregnancy are challenging, and sufficient information does not exist to allow for a definitive evidence-based approach. The American Society for Colposcopy and Cervical Pathology has recently published guidelines regarding the evaluation of abnormal Papanicolaou tests and the treatment of CIN in this setting. Many techniques traditionally recommended in the evaluation of abnormal cervical cytology and the treatment of CIN in the nonpregnant woman, such as colposcopy, cervical biopsy, and electrosurgical excision, can be applied to the pregnant patient with important exceptions. The vascular cervix associated with the gravid condition and the risk of premature pregnancy loss mandates deviation from existing consensus guidelines in screening for cervical cancer in pregnancy and treating associated CIN. In the present review, current guidelines regarding cervical cancer screening are reviewed, and data from studies of pregnant populations are summarized. | | Language | eng | | Pub Type(s) | Journal Article
Review
| | PubMed ID | 18585520 |
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