Cancer of the Cervix in Pregnancy: A 31-Year Experience at the Philippine General Hospital

Objective: To determine whether pregnancy, manner of delivery, the type and timing of therapy would affect the course of cervical cancer. Methods: Records of cervical cancer cases at the Philippine General Hospital from 1961 to 1990 were reviewed. Results: Survival rate (SR) for cancer of the cervix...

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Bibliographic Details
Published in:The journal of obstetrics and gynaecology research 1997-12, Vol.23 (6), p.503-509
Main Authors: Manuel-Limson, Genara A., Ladines-Llave, Cecilia A., Sotto, Luciano S. J., Manalo, Augusto M.
Format: Article
Language:English
Subjects:
Adult
associated with pregnancy
cancer of cervix
Cesarean Section
Delivery, Obstetric
Female
Humans
Hysterectomy
Lymph Node Excision
Lymphatic Metastasis
Middle Aged
Neoplasm Staging
Philippines
Pregnancy
Pregnancy Complications, Neoplastic - diagnosis
Pregnancy Complications, Neoplastic - epidemiology
Pregnancy Complications, Neoplastic - therapy
Prognosis
Radiotherapy
Survival Rate
survival rates
Uterine Cervical Neoplasms - diagnosis
Uterine Cervical Neoplasms - epidemiology
Uterine Cervical Neoplasms - therapy
Uterine Hemorrhage
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Summary:Objective: To determine whether pregnancy, manner of delivery, the type and timing of therapy would affect the course of cervical cancer. Methods: Records of cervical cancer cases at the Philippine General Hospital from 1961 to 1990 were reviewed. Results: Survival rate (SR) for cancer of the cervix in pregnancy was not different from that of the non‐pregnant. Those who delivered abdominally and treated by surgery posted a higher SR compared to those delivered vaginally and treated by radiotherapy. Majority of those delivered abdominally or had surgery were in Stage I while majority of those delivered vaginally or had radiotherapy were in the late stages. Nodal metastasis was associated with poorer prognosis. Conclusions: Survival rates were not affected by pregnancy nor by the manner of delivery, the mode and timing of treatment, but were still largely determined by the stage and by the presence of nodal metastasis.
ISSN:1341-8076
1447-0756
DOI:10.1111/j.1447-0756.1997.tb00879.x