JLE

Médecine de la Reproduction

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

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Authors
Institut Gustave Roussy : 39 rue Camille Desmoulins 94800 Villejuif, France
* Tirés à part

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.