Abnormal result of the vaginal cytology during gestation: 7 years experience
DOI:
https://doi.org/10.18597/rcog.688Keywords:
pregnancy, cytology, colposcopyAbstract
To correlate and to highlight the importance of the colposcopy in pregnant patients, with abnormal cytology; a retrospective study was made in Metrosalud-Castilla of Medellín, from May, 1991 to June,1998. 127 patients' data were tabulated, the age average was 24, biopsy doesn't exist because 2 carcinomas were diagnosed on cytologies of low degree and 5 carcinomas on cytologies of high degree.
It is suggested, therefore, as a handling protocol for pregnant patients with abnormal cytology: colposcopy, taking biopsy at doubtful discoveries, bigger changes or evidence of invasive cancer; diagnostic conization for microinvasion suspicion. Treatment differed to the postpartum for CIN lesions; patients with cancer should be treated according to norms of the National Institute of Cancer.
Author Biographies
Antonio González Mazuelo
Néstor Villota Cadena
Marisol Agudelo
Guadalupe Posada
References
Wright C, et al. Colposcopia actual. Clínicas de ginecología y obstetricia. Interamericana, McGraw-Hill. México, 1993; 145-154.
Hacker N, et al. Carcinoma of cervix associated with pregnancy. Obstet and Gynecol. 1982; 59(6): 735-746.
DePetrillo A, et al. Colposcopy evaluation of abnormal Papanicolaou test in pregnancy. Am J Obstet and Gynecol. 1975; 121(4): 441-445.
McDonnell JM, et al. Colposcopy in pregnancy: a twelve year review. Br J Obstet Gynecol. Vol. 88. Pág. 414-420.
Benedet JL, Selke PA, Nickerson KG. Colposcopic evaluation of abnormal Papanicolau smears in pregnancy. Am J Obstet. Gynecol. 1987; 157: 932-937.
LaPollax JP, et al. Colposcopic management of abnormal cervical cytology in pregnancy. J Reprod Med 1988; 33: 301-306.
Economos K, et al. Abnormal cervical cytology in pregnancy: A 17 year experience. Obstet Gynecol 1993; 81(6): 915-918.
Dexeus S, et al. Tratado y atlas de patología cervical. Salvat editores. Barcelona, 1989; 293-297.
Bertini-Oliveira A, et al. Comparative evaluation of abnormal cytology, colposcopy and histopathology in preclinical cervical malignancy during pregnancy. Acta Cytol. 1982; 26(5): 636-644.
Jain AG, Higgins RY, Boyle MJ. Management of low-grade squamous intraepithelial lesions during pregnancy. Am. J. Obstet Gynecol. 1997; 177(2): 298-302.
Follen M, et al. Colposcopy for the diagnosis of squamous intraepithelial lesions: A meta-analysis. Obstet and Gynecol. 1998; 91(4): 626-631.
How to Cite
Downloads
Downloads
Published
Issue
Section
| Article metrics | |
|---|---|
| Abstract views | |
| Galley vies | |
| PDF Views | |
| HTML views | |
| Other views | |
