Journal of International Oncology ›› 2013, Vol. 40 ›› Issue (2): 145-148.

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Diagnosis, treatment and prognosis of uterine cervical neoplasms complicated with pregnancy

QIANG  Su-Feng, HUANG  Yong   

  1. Department of Gynaecology, International Peace Maternity and Child Health Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200030, China

  • Online:2013-02-08 Published:2013-01-25
  • Contact: Corresponding author: HUANG Yong, E-mail: drhuangyong@yahoo.com.cn E-mail:drhuangyong@yahoo.com.cn

Abstract: The incidence of cervical neoplasms complicated with pregnancy is rising, with delaying of reproductive age. Because of the prevalence of cytology in pregnancy, cervical neoplasms complicated with pregnancy are mostly detected early. All patients with cytological abnormalities should undergo colposcopy, and when necessary, they should undergo cervical biopsy. Conization is reserved for patients with suspected invasion. In cases of invasive carcinoma detected up to the 12th week of pregnancy, immediate treatment is prioritized. Regarding diagnoses made during the second trimester, in early-stage invasive cancers, delay of therapy seems to be safe, fetal pulmonary maturity can be awaited. And the use of neoadjuvant chemotherapy to stabilize the disease until the time of delivery appears to be viable. Doctors should draw up personalized program for the patients with cervical neoplasms complicated with pregnancy according to stage of disease, gestational weeks and the patient’s desire for continued pregnancy. Cervical neoplasms complicated with pregnancy are mostly early-stage invasive cancers, so prognosis is good.

Key words: Uterine cervical neoplasms, Pregnancy, Diagnosis, Therapy, Prognosis