Surgical Issues in the Management of Carcinoma of the Cervix in Pregnancy  

Oleh:

Lewandowski, George S. ; Vaccarello, Luis ; Copeland, Larry J.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: The Surgical Clinics of North America (Keterangan: ada di ClinicalKey) vol. 75 no. 1 (Feb. 1995), page 89.

Isi artikel

The management of cervical cancer in pregnancy can require a multidisciplinary approach involving perinatologists, neonatologists, and gynecologic cancer treatment specialists. The diagnosis frequently can be obtained through biopsy alone, with therapy instituted based on the age of the fetus. Microinvasive carcinoma requires a cone biopsy for diagnosis, but may be managed conservatively throughout pregnancy with excellent survival. Radical hysterectomy with pelvic lymphadenectomy may be a preferable therapeutic option to radiation in Stage I and Stage hA disease; radiation therapy may be used in poor surgical risk, early-staged patients, and is the treatment of choice in Stage JIB or greater disease. The roles of staging laparotomy and laparoscopy and neoadjuvant chemotherapy have yet to be defined.

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