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Re: abnormal pap in pregnancy From: Ralf Witteler (wittele@uni-muenster.de) Wed Oct 8 14:27:39 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: DoctorJoe@aol.com: "Re: Knots. the dead and the undead" Previous message: Gerald P. Rodriguez: "Re: Difficult patient" In reply to: A.C. : "Re: abnormal pap in pregnancy" Next in thread: Bernard Cristalli: "Re: abnormal pap in pregnancy" On Mon, 6 Oct 1997, A.C. Craig Evans, M.D., Ph.D. wrote: > 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? [...] > > 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 > [...] That (vaginal birth does not worsen cervical cancer) is also new to me. How would you comment on e. g. Cliby et al., 1994 (Obstet. Gynecol. 84: 179-82), who report on four patients with episiotomy site recurrence of cervical cancer? Thanx and Ciao Ralf Dr. R. Witteler | University of Muenster | Department of Obstetrics and Gynecology wittele@uni-muenster.de | Albert Schweitzer Str. 33 Tel +49 251 838002 | D-48149 Muenster / Germany -- --------- Gemenweg 65 D - 48149 Muenster / Germany +49 251 80263 --------- Next message: DoctorJoe@aol.com: "Re: Knots. the dead and the undead" Previous message: Gerald P. Rodriguez: "Re: Difficult patient" In reply to: A.C. : "Re: abnormal pap in pregnancy" Next in thread: Bernard Cristalli: "Re: abnormal pap in pregnancy"

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