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Re: abnormal pap in pregnancyFrom: ATFSOCCER@aol.comSat Oct 4 23:08:48 1997
In a message dated 97-10-04 02:25:03 EDT, you write:
<< I am always amazed how easily some people decide on surgery without any
> evidence. There is NO evidence that cesarean section will improve the -- Is there the contrary? OK do what you want. Don't section her if it's an invasive. And if she has a recurrence afterwards you'll explain her (and her lawyers) that it was not written in the books. Cancerous cells don't read, don't they? ;-) Anyway the C/S was not done on this purpose but just to shorten the delay before treatment. Does suit you like that? -- Bernard Cristalli MD CNGO >> Please excuse my ignorance of the oncology/pregnancy literature but I have always been under the impression that vaginal birth was contraindicated in pregnant ladies with invasive cervical cancer as the birth would disrupt the lymphatics and vasculature etc. and increase her chances for metastatic spread? The section should be to prevent that not to shorten the delay before treatment. Otherwise just induce her, the section would be inappropriate for the reasons you have mentioned, Bernard. Respectfully Andy Folley MD FACOG Toledo OH
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