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CHICAGO -- Women with evidence of cervical dysplasia during pregnancy can be safely managed conservatively, Dr. Gazala Siddiqui said at the annual meeting of the American College of Obstetricians and Gynecologists.
"As long as you get one good colposcopy during pregnancy," one that competently shows the cells of the cervix, "you don't have to repeat the Pap and colposcopy every 8-12 weeks," said Dr. Siddiqui of Mount Sinai Hospital, Chicago.
In a poster presentation at the meeting, Dr. Siddiqui and associates retrospectively reviewed the records of 100 patients who between October 1996 and April 2000 were found to have abnormal Pap test results during the course of their pregnancies.
Colposcopies performed on all the women during pregnancy confirmed the presence of high-grade squamous intraepithelial lesions (HGSILs) in 30 patients, low-grade squamous intraepithelial lesions (LGSILs) in 53 patients, and atypical squamous cells of undetermined significance (ASCUS) in 17 patients.
Follow-up colposcopies performed post partum indicated no change in the grade of lesions among 63% of ...
Source: HighBeam Research, Conservative Tx for Cervical Dysplasia in Pregnancy.