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Natural History of Squamous Intraepithelial Lesions in Pregnancy and Mode of Delivery.

Abstract Numerous studies have addressed the impact of mode of delivery on the natural history of squamous intraepithelial lesions (SIL) in pregnant women. However, the literature is still contradictory.
PMID
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Authors

Mayor MeshTerms
Keywords

Dysplasia

mode of delivery

pregnancy

progression

regression

Journal Title anticancer research
Publication Year Start




PMID- 29599374
OWN - NLM
STAT- MEDLINE
DCOM- 20180412
LR  - 20180412
IS  - 1791-7530 (Electronic)
IS  - 0250-7005 (Linking)
VI  - 38
IP  - 4
DP  - 2018 Apr
TI  - Natural History of Squamous Intraepithelial Lesions in Pregnancy and Mode of
      Delivery.
PG  - 2439-2442
AB  - BACKGROUND: Numerous studies have addressed the impact of mode of delivery on the
      natural history of squamous intraepithelial lesions (SIL) in pregnant women.
      However, the literature is still contradictory. PATIENTS AND METHODS: In the
      course of a retrospective analysis, data of 63 pregnant women with abnormal
      cervical smears who were referred to our Outpatient Department for pre-invasive
      lesions of the cervix were analyzed. The study was conducted at the General
      Hospital in Vienna, Austria, between 2010 and 2015. Data collection included
      demographics, delivery route and diagnostic results of cervical lesions by
      cytology, colposcopy, human papilloma virus (HPV) testing, histological report of
      punch biopsy and, if applicable, cone biopsy. RESULTS: Among 63 women who met the
      inclusion criteria, 40 (63%) delivered vaginally and 23 (37%) underwent caesarean
      section. Postpartum regression of cervical dysplasia was documented in 15 women
      delivering vaginally and in 10 who had a caesarean section (p=0.641). Among those
      women who delivered vaginally, three had progression and in 22 women the lesions 
      persisted postpartum. In the group of women with caesarean section, one had
      progression and the lesions of 12 women persisted after delivery. No woman had
      progression to invasive disease. CONCLUSION: The mode of delivery does not
      significantly influence the natural history of cervical dysplastic lesions in
      pregnant women. The numbers of spontaneous regressions to normal cervical
      cytology during pregnancy were similar in both groups.
CI  - Copyright(c) 2018, International Institute of Anticancer Research (Dr. George J. 
      Delinasios), All rights reserved.
FAU - Schuster, Stefanie
AU  - Schuster S
AD  - Department of Obstetrics and Gynecology, General Hospital Vienna, Medical
      University Vienna, Vienna, Austria.
FAU - Joura, Elmar
AU  - Joura E
AD  - Department of Obstetrics and Gynecology, General Hospital Vienna, Medical
      University Vienna, Vienna, Austria.
FAU - Kohlberger, Petra
AU  - Kohlberger P
AD  - Department of Obstetrics and Gynecology, General Hospital Vienna, Medical
      University Vienna, Vienna, Austria [email protected]
LA  - eng
PT  - Journal Article
PL  - Greece
TA  - Anticancer Res
JT  - Anticancer research
JID - 8102988
SB  - IM
MH  - Adult
MH  - Cervical Intraepithelial Neoplasia/epidemiology/pathology/therapy
MH  - Cesarean Section/statistics & numerical data
MH  - Conization/statistics & numerical data
MH  - Delivery, Obstetric/*methods/statistics & numerical data
MH  - Disease Progression
MH  - Female
MH  - Humans
MH  - Papanicolaou Test
MH  - Postpartum Period
MH  - Pregnancy
MH  - Pregnancy Complications, Neoplastic/epidemiology/*pathology/*therapy
MH  - Retrospective Studies
MH  - Squamous Intraepithelial Lesions of the Cervix/epidemiology/*pathology/*therapy
MH  - Uterine Cervical Neoplasms/epidemiology/pathology/*therapy
MH  - Vaginal Smears
MH  - Young Adult
OTO - NOTNLM
OT  - *Dysplasia
OT  - *mode of delivery
OT  - *pregnancy
OT  - *progression
OT  - *regression
EDAT- 2018/03/31 06:00
MHDA- 2018/04/13 06:00
CRDT- 2018/03/31 06:00
PHST- 2018/01/08 00:00 [received]
PHST- 2018/01/30 00:00 [revised]
PHST- 2018/02/06 00:00 [accepted]
PHST- 2018/03/31 06:00 [entrez]
PHST- 2018/03/31 06:00 [pubmed]
PHST- 2018/04/13 06:00 [medline]
AID - 38/4/2439 [pii]
AID - 10.21873/anticanres.12496 [doi]
PST - ppublish
SO  - Anticancer Res. 2018 Apr;38(4):2439-2442. doi: 10.21873/anticanres.12496.