Cervical Cancer Treatment in Pregnancy

Abstract

Cancer in pregnancy is a rare phenomenon. It is estimated to occur in 1:1000 pregnancies. Especially the incidence ofcervical cancer in pregnancy is approximately 1/1000-10000 pregnancies. As matenal age increases, most cancer age-relatedcancer incidence changes. Thus cervical cancer diagnosed during pregnancy increases along with the delay of childbearing.Pregnancy is an exceptional opportunity for the early diagnosis of cervical cancer. Because routine antenatal care includesvisual inspection, cytological examination and bimaual palpation. Although cervical cancer during pregnancy is usually operable,fetal maturity is another problem. So both patient and medical team breaks out argument. During pregnancy, high estrogen levelcan change the cervix. The change is normal physiological feature in pregnancy. But it can lead to an overestimation ofpossible lesion. There is no definitive evidence that the pregnant state shifts the characters of cervical cancer. The managementof cervical cancer during pregnancy depends on gestational age at diagnosis, stage of disease and patient desire for thepregnancy. So multidisciplinary approach is required for which includes obstetrician, gynecologic oncology, surgeon, radiationoncologist, neonatalogist, pathology.