Re: abnormal pap in pregnancy

From: A.C. (A.C.Evans@m.cc.utah.edu)
Fri Oct 3 20:54:57 1997


On Fri, 3 Oct 1997 12:05:09 -0500, tien@erato.usask.ca (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.

Amnio - if mature, CKC, frozen section -if invasive, Cesarean rad hyst/nodes -if equivocal, await permanent, if invasive, as above -if in situ, margins negative, NSD, hyst in 4-6 wks

- if immature, wait until 35 to 36 weeks, then plan as above

A.C. Evans, M.D., Ph.D. Division of Gynecologic Oncology Univ. of Utah, Salt Lake City (801) 581-7640 A.C.Evans@m.cc.utah.edu acevans@hsc.utah.edu





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