Non-invasive cervical cancer during pregnancy. Prognosis for mothers and children

Abstract

The problem of malignant tumors in pregnant women is becoming increasingly relevant in recent years primarily due to the postponement of childbirth. In 2014, the mean age of Russian women at first birth was 28.1 years, whereas in 1995, mean age was 24.9 years (Russian annual demographic report for 2015). Cervical carcinoma (primarily preinvasive) is the most common gynecologic malignancy in pregnant women. The doctor and the patient have to choose between immediate treatment and preservation of pregnancy, and, therefore, delayed anticancer therapy. We analyzed 17-year experience of managing pregnant women with non-invasive cervical cancer followed up in the N.N. Petrov National Medical Research Center of Onclology, Ministry of Health of Russia, and also summarized the strategy used in the diagnosis, treatment and monitoring of such patients.