Cervical Cancer Treatment in Pregnancy

Jung, Sun-a; Kim, Sung-yob

doi:2013.10.2.135

J Med Life Sci > Volume 10(2); 2013 > Article

Original Article

Journal of Medicine and Life Science 2013;10(2):135-141.
DOI: https://doi.org/10.22730/jmls.2013.10.2.135 Published online December 18, 2018.

임신 중 자궁경부암의 치료

Cervical Cancer Treatment in Pregnancy

Sun-a Jung, Sung-yob Kim

Correspondence: Sung-yob Kim,

Abstract

Cancer in pregnancy is a rare phenomenon. It is estimated to occur in 1:1000 pregnancies. Especially the incidence of cervical cancer in pregnancy is approximately 1/1000-10000 pregnancies. As matenal age increases, most cancer age-related cancer incidence changes. Thus cervical cancer diagnosed during pregnancy increases along with the delay of childbearing. Pregnancy is an exceptional opportunity for the early diagnosis of cervical cancer. Because routine antenatal care includes visual inspection, cytological examination and bimaual palpation. Although cervical cancer during pregnancy is usually operable, fetal maturity is another problem. So both patient and medical team breaks out argument. During pregnancy, high estrogen level can change the cervix. The change is normal physiological feature in pregnancy. But it can lead to an overestimation of possible lesion. There is no definitive evidence that the pregnant state shifts the characters of cervical cancer. The management of cervical cancer during pregnancy depends on gestational age at diagnosis, stage of disease and patient desire for the pregnancy. So multidisciplinary approach is required for which includes obstetrician, gynecologic oncology, surgeon, radiation oncologist, neonatalogist, pathology.

Key Words: cervical cancer, pregnancy, treatment management.