Recommandations de la Société française d’urologie gynécologique, de la Société française de chirurgie pelvienne et du Collège national des gynécologues et obstétriciens français sur la prise en charge des cancers invasifs du col utérin pendant la grossesse

Early Invasive Cervical Cancer During Pregnancy

“…11 In the literature, the gestation does not seem to have negative effects on tumor progression. The risk of recurrence after delayed therapy for early-stage CC in pregnancy is reported to be approximately 5%, similar to that observed in nonpregnant patients.…”

“…10,11 Two series have shown that of 69% to 83% of the lesions diagnosed during pregnancy are in stage IB. 4 After clinical and radiological (MRI) staging, different fertility-sparing treatments can be proposed to the patient.…”

“…1,11,12 Different approaches preserving the fertility can be discussed: pelvic lymphadenectomy, trachelectomy, and NACT.…”

“…1 The management of CC during pregnancy depends on several important factors. 10,11,13,14 The classic prognostic factors of CC are stage of disease and status of the pelvic nodes. Size and locoregional extension of tumor can be evaluated during pregnancy with pelvic MRI.…”

Association Cervix Cancer and Pregnancy: About Eight Cases at Aristide Ledantec Hospital, Dakar, Senegal

“…This in order to make the best decision for the mother and the fetus without delay in the therapeutic procedure. The recommendations recommend that the lesions that are extirpable during caesarean section should be treated without delay, if the fetal maturity is considered as acquired, by performing a colpohysterectomy with pelvic lymphadenectomy, with a trained team [15].…”