임신 중 자궁경부암의 치료 |
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Cervical Cancer Treatment in Pregnancy |
Sun-a Jung, Sung-yob Kim |
Correspondence:
Sung-yob Kim, |
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Abstract |
Cancer in pregnancy is a rare phenomenon. It is estimated to occur in 1:1000 pregnancies. Especially the incidence of
cervical cancer in pregnancy is approximately 1/1000-10000 pregnancies. As matenal age increases, most cancer age-related
cancer incidence changes. Thus cervical cancer diagnosed during pregnancy increases along with the delay of childbearing.
Pregnancy is an exceptional opportunity for the early diagnosis of cervical cancer. Because routine antenatal care includes
visual inspection, cytological examination and bimaual palpation. Although cervical cancer during pregnancy is usually operable,
fetal maturity is another problem. So both patient and medical team breaks out argument. During pregnancy, high estrogen level
can change the cervix. The change is normal physiological feature in pregnancy. But it can lead to an overestimation of
possible lesion. There is no definitive evidence that the pregnant state shifts the characters of cervical cancer. The management
of cervical cancer during pregnancy depends on gestational age at diagnosis, stage of disease and patient desire for the
pregnancy. So multidisciplinary approach is required for which includes obstetrician, gynecologic oncology, surgeon, radiation
oncologist, neonatalogist, pathology. |
Key Words:
cervical cancer, pregnancy, treatment management. |
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