Screening for cervical neoplasia during pregnancy

Cronjé, H. S.; Rensburg, Estrelita Janse van; Niemand, I; Cooreman, Bruno; Beyer, E.; Divall, Peter

doi:10.1016/s0020-7292(99)00178-2

Cited by 10 publications

(7 citation statements)

References 12 publications

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“…Cronjé et al [29] observed a lower J of 0.01 between cervicography and cytology among a population of 842 women attending an antenatal clinic. The low agreement was attributed to the enlargement of the cervix during pregnancy and to excessive mucus on the surface, hampering visualization of the cervix and quality of the cervical smear.…”

Section: Discussionmentioning

confidence: 98%

Lack of Agreement Between Cervicography and Cytology and the Effect of Human Papillomavirus Infection and Viral Load

Trevisan

Baggio²,

Galan³

et al. 2006

Journal of Lower Genital Tract Disease

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Section: Discussionmentioning

confidence: 98%

Lack of Agreement Between Cervicography and Cytology and the Effect of Human Papillomavirus Infection and Viral Load

Trevisan

Baggio²,

Galan³

et al. 2006

Journal of Lower Genital Tract Disease

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“…Conversely, elevated progesterone levels are associated with the presence of thick, sperm‐impenetrable mucus with significantly increased viscosity as compared to the follicular phase. Studies on the relationship between cytology and cervical mucus have shown that thickened mucus during pregnancy results in a decrease in the production of endocervical cells 13,14 . Accordingly, swabbing excess mucus from the cervix before scraping is known to result in a more interpretable specimen 15 .…”

Section: Discussionmentioning

confidence: 99%

“…A mind map summarising the potential pitfalls 1–6,13,14 of the false‐negative Papanicolaou smear. The pitfalls described in the present study are grouped into categories…”

Section: Discussionmentioning

confidence: 99%

Effects of the menstrual cycle on cytological false‐negatives in women with persistent cervical intraepithelial neoplasia

et al. 2022

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Repeated Pap smears during cervical intraepithelial neoplasia (CIN) follow-ups may yield inconsistent results, such as being negative for intraepithelial lesions or malignancy (NILM) or high-grade squamous intraepithelial lesions (HSIL), depending on the timing. In such cases, if the Pap smear shows NILM, the lesion is considered to have regressed, and the patient's concerns are alleviated; however, if the

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“…About half of these cases are diagnosed antenatally, and the other half around 12 months postpartum [5]. The incidence of abnormal cervical cytologic findings during pregnancy is 0.72 to 1.67% [10]. Most patients are diagnosed at an early stage of disease probably as the result of routine antenatal screening, but it may also be a possibility that advanced-stage disease interferes with conception [11].…”

Section: Introductionmentioning

confidence: 99%

Cervical Cancer Screening in Pregnancy and Postpartum: A North Indian Hospital Based Prospective Observational Study

Gill

Gaurav²,

Khoiwal

et al. 2020

Asian Pac J Cancer Biol

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Introduction: In India, cervical cancer stands as the 2nd most common female cancer and it is the 2nd most leading cause of deaths in women aged 15 to 44 years. The first visit to the gynecologist for most of the women in India is during pregnancy, thereby making it a fair opportunity for the screening of premalignant and malignant cervical disease. Methods: A prospective observational study was conducted in the Department of Obstetrics and Gynaecology, AIIMS, Rishikesh, Uttarakhand, India from January 2018 to January 2019. The Pap smear testing of 237 spontaneously conceived antenatal women, aging between 20 to 35 years was performed. The same women were followed up for postnatal testing after 6 weeks of delivery. Results: Out of 237, 8 women were reported positive for pre malignant lesions of cervix in the antenatal testing, 5 cases of ASCUS, 1 case of AGC, 1 case of ASC-H & 1 case of HSIL. In the postnatal Pap smear testing, 37 women were lost to follow-up including 1 case of ASCUS. Postnatal Pap smear testing of the remaining 200 women showed that 193 women who were reported NILM in the antenatal period remained unchanged in the postnatal screening too. Out of the 7 women who tested positive, 4 cases of ASCUS, 1 case of AGC and 1 case of ASC-H showed regression, giving result as NILM in the postnatal screening test. Out of the 7 positive antenatal tests, 1 case which was reported as HSIL in the antenatal screening, remained unchanged in the postnatal period.Conclusion: The study concluded that there is significant regression (p<0.01) of Positive Pap smear findings from antenatal to postnatal period. Hence, it is imperative to repeat Pap smear test in postnatal period.

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Screening for cervical neoplasia during pregnancy

Abstract: As a result of cytology's rather low yield and the small measure of agreement between the tests, cytology should be supplemented by an additional screening test in pregnancy.

Cited by 10 publications

References 12 publications

Lack of Agreement Between Cervicography and Cytology and the Effect of Human Papillomavirus Infection and Viral Load

Lack of Agreement Between Cervicography and Cytology and the Effect of Human Papillomavirus Infection and Viral Load

Effects of the menstrual cycle on cytological false‐negatives in women with persistent cervical intraepithelial neoplasia

Cervical Cancer Screening in Pregnancy and Postpartum: A North Indian Hospital Based Prospective Observational Study

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