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Re: abnormal pap in pregnancy From: A.C. (A.C.Evans@m.cc.utah.edu) Mon Oct 6 11:24:21 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dean Huffman: "Re: Vacuum vs. forceps (Malcolm's reply to Dan-large attached" Previous message: Darach Corcoran: "Re: scalp pH" In reply to: ATFSOCCER@aol.com: "Re: abnormal pap in pregnancy" Next in thread: Ralf Witteler: "Re: abnormal pap in pregnancy" Reply: Ralf Witteler: "Re: abnormal pap in pregnancy" On Sat, 4 Oct 1997 23:09:36 -0500, ATFSOCCER@aol.com wrote: > >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 There is no evidence that vaginal birth worsens the prognosis in gravid women with cervical cancer. Cesarean delivery is done to shorten the time to treatment and to prevent bleeding in cases of large tumors. The edema of pregnancy makes the dissection planes nice to work with. Cesarean delivery prior to labor is better because it is much more difficult to define the vaginal margins for a type 1 (extrafascial) hyst or a Meigs-Wertheim resection after significant cervical softening and dilatation has occurred. 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 Next message: Dean Huffman: "Re: Vacuum vs. forceps (Malcolm's reply to Dan-large attached" Previous message: Darach Corcoran: "Re: scalp pH" In reply to: ATFSOCCER@aol.com: "Re: abnormal pap in pregnancy" Next in thread: Ralf Witteler: "Re: abnormal pap in pregnancy" Reply: Ralf Witteler: "Re: abnormal pap in pregnancy"

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