Document Detail


French recommendations on the management of invasive cervical cancer during pregnancy.
MedLine Citation:
PMID:  19955951     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Cervical cancer is one of the most frequently diagnosed cancers during pregnancy, but the management of such cases remains unclear. A Working Group was set up in 2007 in France to propose national recommendations for the management of pregnant patients with invasive cervical carcinoma. METHODS: The recommendations are based on this literature review conducted by the members of the Working Group. RESULTS: Management of cervical cancer during pregnancy depends on 5 factors: stage of the disease (and the tumor size), nodal status, histological subtype of the tumor, term of the pregnancy, and whether the patient wishes to continue her pregnancy. In patients with early-stage disease diagnosed during the first 2 trimesters of pregnancy, there is an increasing tendency to preserve the pregnancy while awaiting fetal maturity in patients with absence of nodal involvement. The delivery (when the fetal maturity is attained) should be then performed using a cesarean section. CONCLUSIONS: This article proposes recommendations for the management of pregnant patients with invasive cervical cancer. These recommendations have been validated by the 3 main scientific societies of gynecologic oncology, pelvic surgery, and obstetrics and gynecology in France.
Authors:
Philippe Morice; Febrice Narducci; Patrice Mathevet; Henri Marret; Emile Darai; Denis Querleu; ; ; ;
Publication Detail:
Type:  Journal Article; Practice Guideline; Review    
Journal Detail:
Title:  International journal of gynecological cancer : official journal of the International Gynecological Cancer Society     Volume:  19     ISSN:  1525-1438     ISO Abbreviation:  Int. J. Gynecol. Cancer     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-12-03     Completed Date:  2010-03-04     Revised Date:  2010-09-20    
Medline Journal Info:
Nlm Unique ID:  9111626     Medline TA:  Int J Gynecol Cancer     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1638-41     Citation Subset:  IM    
Affiliation:
Department of Surgery, Institut Gustave Roussy, Villejuif, France. morice@igr.fr
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MeSH Terms
Descriptor/Qualifier:
Carcinoma / diagnosis,  pathology,  therapy*
Female
France
Gestational Age
Health Planning Guidelines*
Humans
Neoplasm Invasiveness
Pregnancy
Pregnancy Complications, Neoplastic / diagnosis,  pathology,  therapy*
Uterine Cervical Neoplasms / diagnosis,  pathology,  therapy*
Investigator
Investigator/Affiliation:
Aubard / ; Baldauf / ; Bonnier / ; Canis / ; Chauveau / ; Duvillard / ; Fernandez / ; Frydman / ; Goffinet / ; Haie-Meder / ; Lécuru / ; Lefranc / ; Lhommé / ; Pautier / ; S Uzan / ; C Uzan / ; Rouzier /
Comments/Corrections
Comment In:
Int J Gynecol Cancer. 2010 Jul;20(5):910   [PMID:  20606543 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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