Tuesday, May 10, 2011

Management of Cervical Carcinoma

Management of Cervical Carcinoma Diagnosis of cervical cancer may not realize during the pregnancy and pregnancy due to vaginal bleeding suspected of threatened abortion or other pregnancy complications. Colposcopy is easy to do because of the transformation zone exposed, due to physiological eversion. The prognosis is similar to non-pregnant women.
Management of Cervical Carcinoma:
1. Refer women with cervical cancer to the gynecologist.
2. Anticipatory Guide: Stadium of cervical cancer determined by biopsy, Cystoscopy, sigmoidoscopy, chest x-ray examination and order, pictogram IV, and liver function test. Hysterectomy can be recommended, followed adjuvant therapy (radiation and / or chemotherapy).

3. Management during pregnancy: A biopsy remains to be done. Endocervical curettage and cone biopsy was not selected because of bleeding, rupture of membranes, and pelahiran less months. MRI can be used as a specific tool-stage cancer.

4. Carcinoma in situ can be handled conservatively, with therapy initiated 6 weeks postpartum. Mikroinvasif carcinoma diagnosed during pregnancy can also be handled in this way, by doing a colposcopy examination every 8 weeks and hysterectomy is performed if the baby was born via cesarean pelahiran. Invasive carcinoma was significantly more urgent, and pregnancy <22-26 weeks can be interrupted to allow for therapy.

Source: fkunhas

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