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Cervical cancer

The combination of cervical cancer and pregnancy occurs with a frequency of 1 in 1000 - 2500 pregnancies. The pregnancy rate in patients with cervical cancer is 3.1%.

There are large differences in the ages of pregnant women with cervical cancer and non-pregnant patients. The average age of patients with cervical cancer is 48 years, and pregnant women suffering from cervical cancer - 28.

The clinical picture. Signs of tumor damage to the cervix in women during pregnancy and outside it are almost identical. If at the beginning of the disease there are no pronounced clinical signs, then with the progression of the process, liquid watery or spotting from the genital tract and contact bleeding appear. Diagnostics. Every obstetrician should remember the possibility of a combination of pregnancy and a malignant tumor of the cervix. For timely recognition of cervical cancer during the initial examination of pregnant women in a antenatal clinic, along with a special obstetric examination, it is necessary to examine the cervix in the mirrors while taking smears from the surface of the vaginal part of the cervix and from the cervical canal. Cytology of smears plays a leading role in the recognition of cervical cancer. If necessary, a pregnant woman should conduct a special study with an examination of the cervix using a magnifying device - a colposcope and a biopsy of a suspicious section of the cervix. A biopsy should be performed under stationary conditions due to the risk of bleeding.

A clinically expressed cancer can take the form of an ulcer or papillary growths resembling cauliflower (Fig. 12.3).

Fig. 12.3.

Pregnancy and cervical cancer

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The use of clinical, cytological, colposcopic and pathologic research methods is indicated at any gestational age.
X-ray and radionuclide studies during pregnancy should be avoided.

Differential diagnosis. Cervical cancer should be differentiated from benign diseases of the cervix, miscarriage, placenta previa. Crucial in tumor recognition is a cervical biopsy performed under the control of a colposcope.

Treatment. With a combination of cervical cancer and pregnancy, therapeutic measures should be planned taking into account the duration of pregnancy, the stage of the cancer process and the biological properties of the tumor, while the interests of the mother should be put first. When determining the management tactics of pregnant women with cervical cancer, an oncologist should be consulted.

In case of intraepithelial carcinoma (stage 0), the necks are acceptable for termination of pregnancy with removal of the neck 1.5-2 months after delivery. When invasive cancer is detected in the I and II trimesters of pregnancy, extended hysterectomy is indicated. With a far advanced tumor process, radiation therapy is necessary after removing the fetal egg by the vaginal or abdominal wall. In case of invasive cancer and the presence of a viable fetus, caesarean section should be performed at the first stage, and in the subsequent extended uterine extirpation. If it is impossible to completely remove the uterus, supravaginal amputation with subsequent radiation therapy is permissible, the use of anticancer drugs is possible.

The prognosis for a combination of cervical cancer and pregnancy is less favorable than for non-pregnant women.
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Cervical cancer

  1. Cervical cancer
    Cervical cancer in a pregnant woman is extremely rare, since most often this pathology develops in women older than 40 years, in women with a large number of births and abortions in history, in women who often change sexual partners. Cervical cancer is usually diagnosed with a mandatory examination of the cervix during pregnancy 2 times - upon receipt of a pregnant woman, upon delivery
  2. CERVICAL CANCER
    Cervical cancer is a malignant neoplasm that occurs in the cervical region. Histologically, two of its main varieties are distinguished: adenocarcinoma and squamous cell carcinoma. Classification. In the classification of cervical cancer, the standard TNM classification of malignant neoplasms is used. ? Tx - not enough data to evaluate the tumor. ? T0 - primary tumor is not
  3. CERVICAL CANCER
    Cervical cancer is a malignant neoplasm that occurs in the cervical region. Histologically, two of its main varieties are distinguished: adenocarcinoma and squamous cell carcinoma. Classification. In the classification of cervical cancer, the standard TNM classification of malignant neoplasms is used. ? Tx - not enough data to evaluate the tumor. ? T0 - primary tumor is not
  4. Cervical cancer
    Cervical cancer is the most common malignant disease of the female genital organs: from 20 to 40 per 100,000 female population. Improving preventive work in antenatal clinics has reduced the incidence of this pathology in women and increased its detection in the early stages. In this case, the study of background and precancerous conditions, which allows diagnosing cancer, is of particular importance.
  5. UTERUS CANCER AND PREGNANCY
    Cervical cancer ranks first in the structure of the incidence of malignant tumors of the female genital organs. According to summary data, among the malignant tumors in pregnant women, cervical cancer is in the first place: from 0.17 to 4.1%. Among the forms of cancer, exophytic and mixed forms of tumor growth prevail (in 74.3%), with a location in the ectocervix region (in 89.2%), and bleeding (in 68.2%).
  6. Cervical cancer
    Epidemiology. Currently, cervical cancer is the most common gynecological cancer in women under the age of 50, every 4th woman of reproductive age has a cervical pathology. The incidence of cervical cancer is generally decreasing, however, an increase in the incidence of cervical cancer among young women under 40 years of age and especially in the age group under 29 years of age is clearly visible. Most significant
  7. Common Cervical Cancer
    As a result of stage II studies presented in April 2008 in Munich at the 10th Congress of the International Conference of Hyperthermic Oncology (ICGO), performed on 18 patients treated with RT in combination with RGT, as well as radiosensitizing Cisplatin, PR was 66%, CR - 34%; followed by follow-up for 44 months., RVV and OM amounted to 50 and 66%
  8. Cervical Disease
    More than half of women who turn to antenatal clinics suffer from one or another disease of the cervix, sometimes without suspecting it - manifestations of this pathology can be so insignificant. The consequences often turn out to be the most serious, therefore it is so important to adhere to the first commandment of gynecologists - to be regularly examined in a antenatal clinic. Even if you are nothing so far
  9. Cervical rupture
    From a rupture of the cervix, there is rarely heavy bleeding, but there are heavy bleeding if the gap reaches the vaginal fornix or passes to the lower segment of the uterus. Risk group: • women entering labor with immature birth canal (rigid cervix), • women with discoordinated labor, • women with large fetuses • with excessive use of uterotonics,
  10. Cervical Diseases
    Cervical cancer is one of the most studied oncogynecological diseases. The development of methods for its diagnosis and treatment, which has a long history, has led to a significant reduction in the spread of this disease and mortality from it. The existence of a clear hierarchy of background and precancerous processes of the cervix, as well as the availability of reliable screening criteria and early methods
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