engleski

Precancerous Cervical Lesions During Pregnancy : Case Report

This report describes the case of a patient with CIN III on cytology and a colposcopic pattern resembling invasive cervical cancer. We know that the cervical cancer screening is an essential component of antenatal care. A 32-year-old pregnant woman underwent diagnostic procedure at 20 weeks of pregnancy with CIN III in Pap smear. Cytologic finding was confirmed with punch biopsy (CIN III). Although the diagnosis and management of cervical intraepithelial neoplasia during pregnancy are challenging, CIN lesions are usually stable. Due to the complexity of colopscopic examination during pregnancy with all the features and toils we didn` t decide to solve the disease by surgery during pregnancy. Woman was delivered at the regular time. After 6 months the amputation of the cervix by Sturmdorf mode was done, and the changes in conus of the neat edges were gained. Hystology revealed CIN III. The treatment was finished with further checkups of the patient. The postponement of the surgery of the cervical lesion had enabled the regular pregnancy termination without jeopardizing the medical treatment and prognosis of the fundamental disease.

cervical lesions; CIN III; Pap smear

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