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Re: Interesting case of cervical cancer in pregnancy From: Braun, R. Daniel (rbraun@iupui.edu) Wed Apr 26 10:28:56 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: DoctorJoe@aol.com: "Re: Interesting case of cervical cancer in pregnancy" Previous message: Dr Sarita Bhalerao: "Interesting case of cervical cancer in pregnancy" Maybe in reply to: Dr Sarita Bhalerao: "Interesting case of cervical cancer in pregnancy" Next in thread: DoctorJoe@aol.com: "Re: Interesting case of cervical cancer in pregnancy" As long as the lesion is confined to the cervix, Stage I-B, a cesaeran, radical hysterectomy would be the obvious choice. The real question becomes one of WHEN?? If in your institution, the perinatal Mortality rate is 10-15/ 1000(1-1.5%) or less at 32 weeks, then 32 weeks and 48 hours after steroids would probably be a good time. Dan R. Daniel Braun, MD FACOG Clinical Professor Department of Obstetrics and Gynecology Indiana U. School of Medicine Indianapolis, IN 46202 OBGYN.net International Representative for United States Certified AllExperts Expert Check out my bio/ratings page! http://www.allexperts.com/displayExpert.asp?Expert=1236 -----Original Message----- From: saritabhalerao@hotmail.com [mailto:saritabhalerao@hotmail.com] Sent: Wednesday, April 26, 2000 10:14 AM To: Multiple recipients of list OB-GYN-L Subject: Interesting case of cervical cancer in pregnancy A 28 year old lady, para 2 is presently 29 weeks pregnant. She reported with per vaginal bleeding. On examination she was found to have a polypoid growth arising from the cervix. Biopsy of the growth reveals a high grade adenocarcinoma. Clinical examination reveals induration in the left parametrium,right parametrium is free.Parametrial involvement is thus doubtful. I would like to ask the forum how best to manage this case. Next message: DoctorJoe@aol.com: "Re: Interesting case of cervical cancer in pregnancy" Previous message: Dr Sarita Bhalerao: "Interesting case of cervical cancer in pregnancy" Maybe in reply to: Dr Sarita Bhalerao: "Interesting case of cervical cancer in pregnancy" Next in thread: DoctorJoe@aol.com: "Re: Interesting case of cervical cancer in pregnancy"

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