Management of Pregnant Women with Cervical Cancer

Abstract

Pregnancy complicated by cervical cancer is determined in the case of primary diagnosis of cervical cancer during pregnancy or after 6-12 months after childbirth. The number of pregnancies complicated by cervical cancer is small. In 1-3% of women with cervical cancer, oncology was first diagnosed during pregnancy. Of these, about half were pregnant during the diagnosis of the disease, the rest - 6-12 months after childbirth.

It is not known whether pregnancy increases the risk of onset or progression of cervical cancer. However, elevated estrogen levels and human chorionic gonadotropin are thought to activate the pro-carcinogenic effect of human papillomavirus (HPV) infection. Other researchers believe that increased blood flow and lymphatic circulation in the early phase of pregnancy with a simultaneous decrease in specific immunity and cervical dilatation may contribute to the development of cervical cancer.