Summary:
Objective: To evaluate management and outcome of pregnant women with cervical carcinoma.
Design: Retrospective clinical study.
Setting: Institute for Mother and Child Care, Prague, Czech Republic.
Methods: Clinical data of pregnant women suffering from cervical carcinoma were summarized
and assessed. The primary treatment was radical hysterectomy and pelvic lymphadenectomy
including the foetus in utero in the first and early second trimester and caesarean section and
radical surgery after viability of the foetus has been reached. Patients were assessed with regard
to the stage of the disease and the stage of pregnancy.
Results: In this retrospective study we discuss 8 cases of cervical cancer diagnosed during preg-
nancy. According to the TNM classification 3 patients were in stage Ib1, 3 patients in stage Ib2,
one patient in stage IIa and one patient in stage IIb. With the exception of one patient in stage IIb
all cases were operable with no complication after radical surgery. After a follow-up of at least 12
months we are convinced that pregnancy has no negative effect on the prognosis of cervical
cancer.
Key words:
cervical carcinoma, pregnancy
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