Document Detail

Low-grade cervical squamous intraepithelial lesion during pregnancy: conservative antepartum management.
MedLine Citation:
PMID:  15493175     Owner:  NLM     Status:  MEDLINE    
The purpose of this retrospective study was to determine the regression rate and management of low-grade squamous intraepithelial lesions (LSIL) in pregnancy. Seventy-four women with cytological findings of LSIL were analysed during the pregnant-puerperal period (until 12 months postpartum). Age, parity, cytological and colposcopic findings, route of delivery, and postpartum follow-up were studied. The age and parity of patients ranged (average) from 12 to 32 years (21.2 +/- 4.9), 0-5 (0.89 +/- 1.14), and 9-32 years (16.1 +/- 3.5), respectively. Thirty-nine of 55 (70.9%) and 12 of 19 (63.1%) pregnant women had normal cytology after vaginal delivery and caesarean section, respectively (p > 0.05). In postpartum, eight patients (10.8%) persisted with LSIL and ten (13.5%) presented high-grade squamous intraepithelial lesions. No case of unsatisfactory colposcopy and invasive carcinoma were found. LSIL during pregnancy has a high rate of regression, regardless of the route of delivery. Conservative management with colposcopic evaluation is proposed during gestation.
E F C Murta; F C Goulart de Andrade; S J Adad; Hazarabedian de Souza
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  European journal of gynaecological oncology     Volume:  25     ISSN:  0392-2936     ISO Abbreviation:  Eur. J. Gynaecol. Oncol.     Publication Date:  2004  
Date Detail:
Created Date:  2004-10-20     Completed Date:  2004-12-23     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8100357     Medline TA:  Eur J Gynaecol Oncol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  600-2     Citation Subset:  IM    
Discipline of Gynaecology and Obstetrics, Faculty of Medicine of Triângulo Mineiro, Uberaba M.G. (Brazil).
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MeSH Terms
Brazil / epidemiology
Cervical Intraepithelial Neoplasia / epidemiology,  pathology,  therapy*
Medical Records
Postpartum Period
Pregnancy Complications, Neoplastic / epidemiology,  pathology,  therapy*
Prenatal Care
Retrospective Studies
Uterine Cervical Neoplasms / epidemiology,  pathology,  therapy*
Vaginal Smears

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

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