作者: Whitehouse Hh rd , Becker Sn , Hannigan Ev , Atkinson Wd
DOI:
关键词: Pregnancy 、 Medicine 、 Microinvasive carcinoma 、 Biopsy 、 Perinatal mortality 、 Cervical conization 、 Radiology 、 Invasive carcinoma 、 Cone biopsy 、 Colposcopy
摘要: Under a diagnostic schema that used cervical conization liberally for evaluating women with abnormal Papanicolaou smears, 82 pregnant patients underwent conization. Fifteen had significant morbidity related to bleeding. The uncorrected perinatal mortality was 44.1/1000. Sixty-one cone biopsies, performed before colposcopy introduced into the schema, uncovered 2 cases of previously undiagnosed invasive carcinoma. Among 21 who conization, 1 case microinvasive carcinoma diagnosed. During study, 15 frankly were identified, 9 by punch biopsy gross lesion, without prior colposcopy, and 4 colposcopically directed biopsy. As result review, has been changed so is less often on pregnancy patients.