Re: abnormal pap in pregnancy

From: AGrunebaum@aol.com
Fri Oct 3 15:45:00 1997


In a message dated 97-10-03 15:43:37 EDT, you write:

<< tien le wrote: >
> 30 yo G2P1 at 34 week gestation with no previous prenatal care.
> Screening PAP showed adenocarcinoma cells X2 all reviewed by good
> cytopathologists.
> Colposcopy and pelvic exam showed no abnormalities with normal cervical
> appearance and consistency. ECC showed poorly differentiated adenoca
> cells.
> Any suggestions for management ?
> She also want to have vaginal delivery if possible.
>
--

If it is a CIN: Colposcopy, Delivery at term and then conization.

< If it's an invasive epithelioma wait 3 weeks then C/S and then treatment <of the cancer.

-- Bernard Cristalli MD CNGOF AIHP - ACCA Paris - France http://www.obgyn.net/corresp/cristalli.htm >>

I am always amazed how easily some people decide on surgery without any evidence. There is NO evidence that cesarean section will improve the outcome in patients with early cervical carcinoma. Or is there?





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