CERVICAL-CANCER IN PREGNANCY - PRACTICAL RECOMMENDATIONS

Five-year survival did not differ between 20 pregnant women and 541 pa tients with invasive cervical cancer treated with radical surgery at t he Department of Obstetrics and Gynecology of the University of Graz. Therapeutic recommendations are given. In stage Ib to Ilb disease, sur gery is recommended postpartum following the induction of fetal lung m aturity if fertility should be preserved and if the cancer is diagnose d after the 20th week of pregnancy. The same is recommended in stage I a independent of the duration of gestation. In advanced disease (stage IIIb to IVb) definite therapy should be applied immediately after dia gnosis. If cervical intraepithelial neoplasia grade III is suspected, colposcopy, cytology and biopsy are mandatory. Definite therapy should be performed 6 weeks postpartum.