Cervical cancer associated with pregnancy: Results of a multicenter retrospective Korean study (KGOG-1006)

Jong Min Lee, Kwang Beom Lee, Young Tak Kim, Hee Sug Ryu, Young Tae Kim, Chi Heum Cho, Sung Eun Namkoong, Ki Hun Lee, Ho Sun Choi, Kyung Tai Kim

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Abstract

Objective: The objective of the study was to analyze the characteristics of cervical cancer associated with pregnancy. Study Design: Forty patients with cervical cancer associated with pregnancy were retrospectively identified between 1995-2003. Three controls for each case were matched on the basis of age, stage, histology, and date of treatment. Results: Sampling of cervical cytology after the second trimester was the most common cause of delayed diagnosis. Among 12 patients who delayed treatment for fetal maturity, 2 died of disease. There was no difference in overall survival between pregnant and nonpregnant patients with stage Ib tumors. In contrast to nonpregnant patients, the depth of stromal invasion was not correlated with the incidence of lymph vascular space involvement and lymph node metastasis in pregnant patients. Conclusion: Thorough evaluation is warranted before deciding whether to delay treatment until fetal maturity. Pregnancy does not adversely affect the prognosis of early-stage cervical cancer significantly.

Original languageEnglish
Pages (from-to)92.e1-92.e6
JournalAmerican Journal of Obstetrics and Gynecology
Volume198
Issue number1
DOIs
Publication statusPublished - 2008 Jan

All Science Journal Classification (ASJC) codes

  • Obstetrics and Gynaecology

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    Lee, J. M., Lee, K. B., Kim, Y. T., Ryu, H. S., Kim, Y. T., Cho, C. H., Namkoong, S. E., Lee, K. H., Choi, H. S., & Kim, K. T. (2008). Cervical cancer associated with pregnancy: Results of a multicenter retrospective Korean study (KGOG-1006). American Journal of Obstetrics and Gynecology, 198(1), 92.e1-92.e6. https://doi.org/10.1016/j.ajog.2007.06.077