Carcinoma de Cérvix durante el embarazo
Resumen
La presencia de citología cervical anormal durante el embarazo, varía entre 1.26 y 3o/o, y de los pacientes con carcinoma1 del cérvix aproximadamente- del 1 a l2 .8 o /o se encuentran embarazadas. Se ha relacionado al carcinoma de cérvix con la existencia de títulos altos de anticuerpos contra virus herpes tipo 2, demostrándose que existe un 25o/o de riesgo de desarrollar carcinoma en mujeres que tuvieron infección viral herpética. Se revisan y discuten los medios diagnósticos y el tratamiento de carcinoma de cérvix en mujeres embarazadas.
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1. Barbera H.: Pregnancy and Malignancy. Manual of Gynecologic Oncology, Philadelphia, 1980.
2. Lurain, J. et. al.: Managment of Abnormal Papanicolau Smears in pregnancy. Obstet. Gynecol. 53:484,1979.
3. Talebian, F. et. al.: Colposcopic Evaluation of Patients with abnormal cytologic smears during pregnancy. Obstet. Gynecol., 47: 693, 1976.
4. Dudan, R.C. et. al.: Carcinoma of the cérvix and pregnancy. Gynecol. Oncol., 1: 283, 1973.
5. Boutselis, J.G.: Intraepithelial carcinoma of the cérvix associated with pregnancy. Obste l. Gynecol. 40: 657,1972.
6. Stromme, W.B.: Preclinical carcinoma and dysplasia of the cérvix associated with pregnancy. Am. J. Obstet. Gynecol., 05:1008,1969.
1. Hacker, N.E. et; al: Carcinoma of the cérvix associated with pregnancy. Obstet. Gynecol. 59: 735,1982.
8. Creasman, W.T, et. al.: Diagnosis and Managment of in situ carcinoma, Microinvasive carcinoma and stáge I invasive carcinoma of the cérvix. Reids Controversy in Obstetrics and Gynecology—III, Philadelphia, 1983.
9. Aurdían, J.D. et. al.: Immunodiagnostic potential of a virus—coded, tiunor associated antigen (AG—4) in cervical cáncer. Cáncer, 39:1834, 1977.
10. Almeida, J.D. et. al.: Antibody to wart virus in human sera demostrated by electrón microscopy and precipitin tests. Lancet, 2: 1205,1965.
11. Kessler, H.: Human cervical cáncer as a venereal disease. Cáncer Res., 34: 783,1976.
12. Kessler, H.: Epidemiologic aspects of uterine cervix cáncer. Sciarra Gynecology and Obstetrics, 4:1,1984.
13. Coppleson, M.: The origin and nature of pre—malignant lesions of the cérvix uteri. Int. J. Gynecol. Obstet., 8: 539,1970.
14. Ferenczy, A.: Cervical Intraepithelial Neoplasia. Blaustein's Pathology of the Female Genital Tract. Springler—Yerlag, 1977.
15. Coppleson, M. et. al.: A colposcopic study of the cérvix during pregnancy and the puerperium. Obstet. Gynecol. Br. Commonw. 73:575, 1966.
16. StafI, A. et. al.: Colposcopic diagnosis of cervical neoplasia. Obstet. Gynecol., 41:168,1973.
17. Ostergard, D.R.: The effect of age, gravity and parity on the cervical squamocolumnar junction Am. J. Obstet. Gynecol., 129: 59,1977.
18. Ostergard, D.R.: The effect bf pregnancy on cervical squamocolumnar junction in patients with abnormal cervical cytology. Am. J. Obstet. Gynecol., 134: 759,1979.
19. Prem. K.A. et. al.: Carcinoma of the cérvix associated with pregnancy; Am. J. Obstet. Gynecol. 95:99,1966.
20. Sablinska, R. et. al.: Jnvasivc carcinoma of the pregnancy associated with pregnancy. Gynecol. Oncol, 5: 363,1977.
21. Pritchard, J.A. WilliamsObstetrics, Chapter 25, p. 492,1985.
22. Greene, R.R. et. al.: Am.J. Ojbstet. Gynecol. 75: 551,1958.
23. Rogers, R.S. III, et. al.: The impact of the suspicious Papanicolau smear on pregnancy: A study of nationwide attitudes and material and perinatal complications. Am. J. Obstet. Gynecol., 98:488,1967.
24. McDonnell, J.M. et. al.: Colposcopy in pregnancy a twelve year review. Br. J. Obstet. Gynecol, 88:414,1981.
25. Abitbol, M.M. et. al.: Managment of the abnormal cervical smear and carcinoma in situ of the cérvix during pregnancy. Am. J. Obstet. Gynecol., 117: 904,1973.
26. Hanningan, E.V. et. al.: Cone Biopsy during pregnancy. Obstet. Gynecol., 60: 450,1982.
27. Clam, A.D. et. al.: Factors that relate to complications of one biopsy. Am. J. Obstet. Gynecol. 120:124,1974.
28. Averette, H.E. et. al.: Cervical Conization in pregnancy. Am. J. Obstet. Gynecol., 106: 543, 1970.
29. Shingleton, W.P. et. al.: To cone or not to cone The cérvix. Obstet. Gynecol,, 31:430,1968.
30. Davis, R.M. et. al.: Cervical conization. AN Experience with 400 patients. Obstet. Gynecol.,40:23,1972.
2. Lurain, J. et. al.: Managment of Abnormal Papanicolau Smears in pregnancy. Obstet. Gynecol. 53:484,1979.
3. Talebian, F. et. al.: Colposcopic Evaluation of Patients with abnormal cytologic smears during pregnancy. Obstet. Gynecol., 47: 693, 1976.
4. Dudan, R.C. et. al.: Carcinoma of the cérvix and pregnancy. Gynecol. Oncol., 1: 283, 1973.
5. Boutselis, J.G.: Intraepithelial carcinoma of the cérvix associated with pregnancy. Obste l. Gynecol. 40: 657,1972.
6. Stromme, W.B.: Preclinical carcinoma and dysplasia of the cérvix associated with pregnancy. Am. J. Obstet. Gynecol., 05:1008,1969.
1. Hacker, N.E. et; al: Carcinoma of the cérvix associated with pregnancy. Obstet. Gynecol. 59: 735,1982.
8. Creasman, W.T, et. al.: Diagnosis and Managment of in situ carcinoma, Microinvasive carcinoma and stáge I invasive carcinoma of the cérvix. Reids Controversy in Obstetrics and Gynecology—III, Philadelphia, 1983.
9. Aurdían, J.D. et. al.: Immunodiagnostic potential of a virus—coded, tiunor associated antigen (AG—4) in cervical cáncer. Cáncer, 39:1834, 1977.
10. Almeida, J.D. et. al.: Antibody to wart virus in human sera demostrated by electrón microscopy and precipitin tests. Lancet, 2: 1205,1965.
11. Kessler, H.: Human cervical cáncer as a venereal disease. Cáncer Res., 34: 783,1976.
12. Kessler, H.: Epidemiologic aspects of uterine cervix cáncer. Sciarra Gynecology and Obstetrics, 4:1,1984.
13. Coppleson, M.: The origin and nature of pre—malignant lesions of the cérvix uteri. Int. J. Gynecol. Obstet., 8: 539,1970.
14. Ferenczy, A.: Cervical Intraepithelial Neoplasia. Blaustein's Pathology of the Female Genital Tract. Springler—Yerlag, 1977.
15. Coppleson, M. et. al.: A colposcopic study of the cérvix during pregnancy and the puerperium. Obstet. Gynecol. Br. Commonw. 73:575, 1966.
16. StafI, A. et. al.: Colposcopic diagnosis of cervical neoplasia. Obstet. Gynecol., 41:168,1973.
17. Ostergard, D.R.: The effect of age, gravity and parity on the cervical squamocolumnar junction Am. J. Obstet. Gynecol., 129: 59,1977.
18. Ostergard, D.R.: The effect bf pregnancy on cervical squamocolumnar junction in patients with abnormal cervical cytology. Am. J. Obstet. Gynecol., 134: 759,1979.
19. Prem. K.A. et. al.: Carcinoma of the cérvix associated with pregnancy; Am. J. Obstet. Gynecol. 95:99,1966.
20. Sablinska, R. et. al.: Jnvasivc carcinoma of the pregnancy associated with pregnancy. Gynecol. Oncol, 5: 363,1977.
21. Pritchard, J.A. WilliamsObstetrics, Chapter 25, p. 492,1985.
22. Greene, R.R. et. al.: Am.J. Ojbstet. Gynecol. 75: 551,1958.
23. Rogers, R.S. III, et. al.: The impact of the suspicious Papanicolau smear on pregnancy: A study of nationwide attitudes and material and perinatal complications. Am. J. Obstet. Gynecol., 98:488,1967.
24. McDonnell, J.M. et. al.: Colposcopy in pregnancy a twelve year review. Br. J. Obstet. Gynecol, 88:414,1981.
25. Abitbol, M.M. et. al.: Managment of the abnormal cervical smear and carcinoma in situ of the cérvix during pregnancy. Am. J. Obstet. Gynecol., 117: 904,1973.
26. Hanningan, E.V. et. al.: Cone Biopsy during pregnancy. Obstet. Gynecol., 60: 450,1982.
27. Clam, A.D. et. al.: Factors that relate to complications of one biopsy. Am. J. Obstet. Gynecol. 120:124,1974.
28. Averette, H.E. et. al.: Cervical Conization in pregnancy. Am. J. Obstet. Gynecol., 106: 543, 1970.
29. Shingleton, W.P. et. al.: To cone or not to cone The cérvix. Obstet. Gynecol,, 31:430,1968.
30. Davis, R.M. et. al.: Cervical conization. AN Experience with 400 patients. Obstet. Gynecol.,40:23,1972.
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Publicado
2017-06-16
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1.
Jijon Letcrt A. Carcinoma de Cérvix durante el embarazo. Rev Fac Cien Med (Quito) [Internet]. 16 de junio de 2017 [citado 8 de mayo de 2024];11(3-4):163-7. Disponible en: https://revistadigital.uce.edu.ec/index.php/CIENCIAS_MEDICAS/article/view/597
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