[ CANCER DU COL UTERIN ET GROSSESSE : QUELLE PRISE EN CHARGE EN 2015 ]
Volume 14, Issue 4, February 2016, Pages 962–966
Kawtar Benabdallah1, Issam Zoubairi2, Mohammed Jou3, Najia Zraidi4, and Aziz Baydada5
1 Service d'endoscopie gynécologique M1, Maternité Souissi, Rabat, Maroc
2 Service d'endoscopie gynécologique M1, Maternité Souissi, Rabat, Maroc
3 Service d'endoscopie gynécologique M1, Maternité Souissi, Rabat, Maroc
4 Service d'endoscopie gynécologique M1, Maternité Souissi, Rabat, Maroc
5 Service d'endoscopie gynécologique M1, Maternité Souissi, Rabat, Maroc
Original language: French
Copyright © 2016 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
The concomitant occurrence of cervical cancer and pregnancy is rare. Figures published in the literature are variable and estimation Motherhood practitioner from 1500 to 2500 births on average one case of cervical cancer per year.
Non-invasive cancers are more encountered that invasive cancer, with an average ratio in the three publications carcinomas in situ to invasive carcinoma.
The incidence of cervical cancer during pregnancy and aggravating his relationship has been widely discussed. There seems to be no worse prognosis specifically linked to pregnancy. For some other studies would invasive cancers even lower than in the reference population and taking into account the average age of patients of childbearing age. The same applies to the action of estrogen does not appear to be an aggravating factor for cervical cancer is not a hormone-dependent. Contrary to what was previously described.
Prenatal care during pregnancy should be an occasion to systematically seek cervical cancer. It is important to make an early diagnosis to a proper care and improved prognosis. The advent of smears, colposcopy and biopsy or colposcopy micro enabled quick and accurate diagnosis. These various examinations usually will make the difference between dysplasias, carcinomas in situ and possibly very limited micro invasive cancers both in scope and depth to larger micro invasive cancers and invasive cancers in order to take a decision on the multidisciplinary course of pregnancy, therapeutic indications and terms of delivery.
We present in this article the peculiarities related to cervical cancer association and pregnancy at different phases diagnostic and therapeutic news.
Author Keywords: cervical cancer, pregnancy, preservation.
Volume 14, Issue 4, February 2016, Pages 962–966
Kawtar Benabdallah1, Issam Zoubairi2, Mohammed Jou3, Najia Zraidi4, and Aziz Baydada5
1 Service d'endoscopie gynécologique M1, Maternité Souissi, Rabat, Maroc
2 Service d'endoscopie gynécologique M1, Maternité Souissi, Rabat, Maroc
3 Service d'endoscopie gynécologique M1, Maternité Souissi, Rabat, Maroc
4 Service d'endoscopie gynécologique M1, Maternité Souissi, Rabat, Maroc
5 Service d'endoscopie gynécologique M1, Maternité Souissi, Rabat, Maroc
Original language: French
Copyright © 2016 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
The concomitant occurrence of cervical cancer and pregnancy is rare. Figures published in the literature are variable and estimation Motherhood practitioner from 1500 to 2500 births on average one case of cervical cancer per year.
Non-invasive cancers are more encountered that invasive cancer, with an average ratio in the three publications carcinomas in situ to invasive carcinoma.
The incidence of cervical cancer during pregnancy and aggravating his relationship has been widely discussed. There seems to be no worse prognosis specifically linked to pregnancy. For some other studies would invasive cancers even lower than in the reference population and taking into account the average age of patients of childbearing age. The same applies to the action of estrogen does not appear to be an aggravating factor for cervical cancer is not a hormone-dependent. Contrary to what was previously described.
Prenatal care during pregnancy should be an occasion to systematically seek cervical cancer. It is important to make an early diagnosis to a proper care and improved prognosis. The advent of smears, colposcopy and biopsy or colposcopy micro enabled quick and accurate diagnosis. These various examinations usually will make the difference between dysplasias, carcinomas in situ and possibly very limited micro invasive cancers both in scope and depth to larger micro invasive cancers and invasive cancers in order to take a decision on the multidisciplinary course of pregnancy, therapeutic indications and terms of delivery.
We present in this article the peculiarities related to cervical cancer association and pregnancy at different phases diagnostic and therapeutic news.
Author Keywords: cervical cancer, pregnancy, preservation.
Abstract: (french)
La survenue concomitante d'un cancer du col et de la grossesse est rare. Les chiffres publiés dans la littérature sont variables et l'estimation pour une maternité pratiquant 1500 à 2500 accouchements est en moyenne un cas de cancer du col par an.
Les cancers non invasifs sont plus rencontrés que les cancers invasifs, avec un rapport moyen dans les publications de trois cancers in situ pour un cancer invasif.
L'incidence du cancer du col au cours de la grossesse et sa relation aggravante a été largement discutée. Il ne semble pas exister de pronostic péjoratif spécifiquement lié à l'état de grossesse. Pour certaines études d'autres cancers invasifs seraient même moins élevés que dans la population de référence et ce tenant compte de l'âge moyen des patientes en âge de procréer. Il en va de même de l'action des œstrogènes ne parait pas être un facteur aggravant du cancer du col qui est non hormono-dépendant. Contrairement à ce qui a était décrit autrefois.
La consultation prénatale au cours de la grossesse doit être une circonstance pour rechercher systématiquement le cancer du col. Il est important de pouvoir poser un diagnostic précoce afin d'une prise en charge adéquate et une amélioration du pronostic. L'avènement du frottis, colposcopie ou micro colposcopie et biopsie ont permis un diagnostic précis et rapide. Ces différents examens permettront généralement de faire la différence entre les dysplasies, les cancers in situ et éventuellement les cancers micro invasifs très limités tant en étendue qu'en profondeur aux cancers micro invasifs plus étendus et aux cancers invasifs afin de prendre une décision pluridisciplinaire sur le déroulement de la grossesse, les indications thérapeutiques et sur les modalités de l'accouchement.
Nous exposons dans cet article les particularités liées à l'association cancer du col et grossesse aux différentes phases diagnostiques et les actualités thérapeutiques.
Author Keywords: cancer du col, grossesse, préservation.
How to Cite this Article
Kawtar Benabdallah, Issam Zoubairi, Mohammed Jou, Najia Zraidi, and Aziz Baydada, “CERVICAL CANCER AND PREGNANCY : WHAT SUPPORT IN 2015,” International Journal of Innovation and Applied Studies, vol. 14, no. 4, pp. 962–966, February 2016.
