Médecine de la Reproduction


Management of cervical diseases during pregnancy Volume 16, issue 3, Juillet-Août-Septembre 2014


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Institut Gustave Roussy : 39 rue Camille Desmoulins 94800 Villejuif, France
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Cervical and ovarian cancers are the most frequent gynaecological cancers diagnosed during pregnancy. In early stage cervical cancer during the 1st and at the beginning of the 2nd trimester, the 2 main criteria for discussing patient management are the tumour size (and stage) and nodal staging. Magnetic resonance imaging and laparacoscopic lymphadenectomy are useful for planning a potentially conservative approach. The management of patients with locally advanced cervical disease is controversial and should be discussed on a case by case basis according to the tumour size, radiological findings, the term of pregnancy, and the patient's wishes.