[Assessment of the natural course and treatment of premalignant uterine cervical lesions in pregnancy]
| Autor: | Lidija Tulić, Jelena Dotlic, Vesna Kesic, Dragisa Sljivancanin |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
medicine.medical_specialty Adolescent Remission Spontaneous lcsh:Medicine Uterine Cervical Neoplasms Spontaneous remission Disease cervical intraepithelial neoplasia (CIN) Young Adult Pregnancy medicine Humans Cervix Gynecology Natural course Invasive carcinoma treatment business.industry Obstetrics lcsh:R General Medicine medicine.disease Uterine Cervical Dysplasia Cervical Change Squamous intraepithelial lesion medicine.anatomical_structure Female business Precancerous Conditions Pregnancy Complications Neoplastic |
| Zdroj: | Srpski Arhiv za Celokupno Lekarstvo, Vol 141, Iss 3-4, Pp 192-197 (2013) |
| ISSN: | 0370-8179 |
| Popis: | Introduction. Premalignant changes of the uterine cervix occur with similar frequency during pregnancy and in nonpregnant women. Due to the fact that any surgery on the cervix can jeopardize pregnancy, it is important to define the protocol of procedures for the treatment of these changes during pregnancy. Objective. The aim of the study was to investigate the natural course of premalignant cervical changes during pregnancy and the impact of their treatment on the pregnancy course. Methods. Study involved all patients with colposcopically, cytologically and hystopathologically diagnosed premalignant cervical changes during pregnancy from 2002 to 2008. Patients were divided into two groups according to the applied treatment during pregnancy: surgery or monitoring by regular colposcopic and cytological examinations. The two groups were compared concerning treatment outcome, persistence or regression of changes and pregnancy duration. Results. Study involved 58 patients. Spontaneous remission of lesions occurred after pregnancy in 63.79% of cases. Highgrade squamous intraepithelial lesion (HSIL) demonstrated a higher rate of persistency in comparison with lowgrade squamous intraepithelial lesion (LSIL) (χ2=25.115; p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|