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Low-grade cervical squamous intraepithelial lesion during pregnancy: conservative antepartum management.
Murta, E F C; de Andrade, F C Goulart; Adad, S J; de Souza, Hazarabedian.
Afiliação
  • Murta EF; Discipline of Gynaecology and Obstetrics, Faculty of Medicine of Triângulo Mineiro, Uberaba M.G. (Brazil).
Eur J Gynaecol Oncol ; 25(5): 600-2, 2004.
Article em En | MEDLINE | ID: mdl-15493175
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.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Complicações Neoplásicas na Gravidez / Displasia do Colo do Útero / Neoplasias do Colo do Útero Tipo de estudo: Observational_studies / Risk_factors_studies Limite: Adolescent / Adult / Child / Female / Humans / Pregnancy País/Região como assunto: America do sul / Brasil Idioma: En Revista: Eur J Gynaecol Oncol Ano de publicação: 2004 Tipo de documento: Article País de publicação: Singapura
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Complicações Neoplásicas na Gravidez / Displasia do Colo do Útero / Neoplasias do Colo do Útero Tipo de estudo: Observational_studies / Risk_factors_studies Limite: Adolescent / Adult / Child / Female / Humans / Pregnancy País/Região como assunto: America do sul / Brasil Idioma: En Revista: Eur J Gynaecol Oncol Ano de publicação: 2004 Tipo de documento: Article País de publicação: Singapura