UTERINE CERVICAL CANCER DURING PREGNANCY
On the cases of uterine cervical cancer detected during pregnancy various subjects such as an incidence of abnormal cytology detected during pregnancy, an incidence of cancer cases per pregnancy and total cervical cancer, time of detection, outcome of detected cases, problems in diagnosis and treatm...
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| Published in | Japanese Journal of National Medical Services Vol. 50; no. 9; pp. 601 - 606 |
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| Main Author | |
| Format | Journal Article |
| Language | Japanese |
| Published |
Japanese Society of National Medical Services
1996
一般社団法人 国立医療学会 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0021-1699 1884-8729 |
| DOI | 10.11261/iryo1946.50.601 |
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| Abstract | On the cases of uterine cervical cancer detected during pregnancy various subjects such as an incidence of abnormal cytology detected during pregnancy, an incidence of cancer cases per pregnancy and total cervical cancer, time of detection, outcome of detected cases, problems in diagnosis and treatment, and so on are discussed based on published and our data. Number of uterine cervical cancer during pregnancy has increased significantly as well as proportion in total uterine cervical cancer. These cases were often observed in non-parous women which was contrary to statistic data, multi-parous was a risk factor for uterine cervical cancer. Diagnosis on pregnant cases was performed as well as non-pregnant status even though cytologic evaluation was some times underdiagnostic and colposcopy seemed slightly difficult compared with non-pregnant case. Common treatments were applied to the advanced cases and cornization was done mainly in early cancers, carcinoma in situ and microinvasive carcinoma. There were two opinions concerning time of treatment, during pregnancy and after delivery. |
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| AbstractList | On the cases of uterine cervical cancer detected during pregnancy various subjects such as an incidence of abnormal cytology detected during pregnancy, an incidence of cancer cases per pregnancy and total cervical cancer, time of detection, outcome of detected cases, problems in diagnosis and treatment, and so on are discussed based on published and our data. Number of uterine cervical cancer during pregnancy has increased significantly as well as proportion in total uterine cervical cancer. These cases were often observed in non-parous women which was contrary to statistic data, multi-parous was a risk factor for uterine cervical cancer. Diagnosis on pregnant cases was performed as well as non-pregnant status even though cytologic evaluation was some times underdiagnostic and colposcopy seemed slightly difficult compared with non-pregnant case. Common treatments were applied to the advanced cases and cornization was done mainly in early cancers, carcinoma in situ and microinvasive carcinoma. There were two opinions concerning time of treatment, during pregnancy and after delivery. On the cases of uterine cervical cancer detected during pregnancy various subjects such as an incidence of abnormal cytology detected during pregnancy, an incidence of cancer cases per pregnancy and total cervical cancer, time of detection, outcome of detected cases, problems in diagnosis and treatment, and so on are discussed based on published and our data.Number of uterine cervical cancer during pregnancy has increased significantly as well as proportion in total uterine cervical cancer. These cases were often observed in non-parous women which was contrary to statistic data, multi-parous was a risk factor for uterine cervical cancer.Diagnosis on pregnant cases was performed as well as non-pregnant status even though cytologic evaluation was some times underdiagnostic and colposcopy seemed slightly difficult compared with non-pregnant case.Common treatments were applied to the advanced cases and cornization was done mainly in early cancers, carcinoma in situ and microinvasive carcinoma. There were two opinions concerning time of treatment, during pregnancy and after delivery. 妊娠中を契機に発見される子宮頸癌例について, 細胞診の異常や子宮頸癌発見頻度, 発見時期, 妊娠の成り行き, 診断, 治療などについて最近各種データを示し, 考え方の変遷や現代での問題点などを解説した.妊娠中の子宮頸癌は確実に増加していて, それも過去癌が多いといわれた多産婦優位での発生ではなく, 未産婦にも多く認められるのを特徴としている.診断に関しては, 細胞診の過小評価が多いなどの問題点はあるが, 非妊時同様有効な診断法といえる.治療は, 上皮内癌や微小浸潤癌例の多くは子宮頸部円錐切除術を実施している. 手術の時期については, 妊娠中に行うべきとする考えと, 一部を除けば分娩後に行うとの考えがある. |
| Author | HASEGAWA, Toshihiko |
| Author_FL | 長谷川 壽彦 |
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| References | 6) 望月修他: 妊婦の子宮頸癌検診の成績について, 産婦の実際, 41: 689, 1992 16) 牛島英隆他: 子宮頸癌合併妊娠について, 産と婦, 59: 1844, 1992 15) 上田外幸他: 妊娠に合併した婦人科腫瘍; 妊娠に合併した子宮頸癌とその取り扱い, 産婦の進歩, 40: 209, 1988 24) 今野良他: 子宮頸部異形成上皮 (HPV感染) と妊娠, 産と婦, 60: 629, 1993 4) 柏村正道他: 妊娠中の子宮頸癌検診, 産と婦, 60: 671, 1993 2) 塩田充他: 子宮頸癌と妊娠, 周産期医, 19: 307, 1989 23) Gilotta PM et al: Carcinoma in Situ of the Cervix Uteri in Pregnancy, Surg Gynecol Obstet, 142: 396, 1976 12) 村山行信他: 妊娠に合併した子宮頸癌8例について, 日産婦埼玉会誌, 18: 43, 1988 19) Hellberg D et al: Conservative Manegement of the Abnormal Smear during Pregnancy, Acta Obstet Gynecol Scand, 66: 195, 1987 26) 蔵本博行他: 子宮頸部と妊孕性温存手術, 産と婦, 60: 645, 1993 1) 笹川基他: 当科で施行した妊婦の子宮頸癌検診について, 日産婦新潟会誌, 65: 14, 1992 14) 平松祐司他: 妊娠に合併した若年子宮頸癌の検討, 産と婦, 56: 1725, 1989 8) 石渡千恵子他; 妊婦における子宮癌検診の重要性, 日臨細胞会誌, 31: 184, 1992 13) 都仁哉他: 妊娠と細胞診, 日臨細胞会誌, 33: 186, 1994 5) 杉山裕子他: 妊婦の子宮頸部細胞診にみられた異型細胞の検討, 産と婦, 59: 1217, 1992 27) 岩成治他: 子宮頸部上皮内腫瘍に対するCO2Laser Conization療法後の妊娠に関する検討, 日癌治会誌, 24: 2375, 1989 3) 岡本吉明他: 妊婦婦に対する子宮頸部細胞診の必要性と異常例に対する治療方針, 日臨細胞会誌, 33: 185, 1994 17) 工藤隆一他: 子宮頸癌と妊娠, 産と婦, 60: 635, 1993 22) Campion MJ et al: Colposcopy in Pregnancy, Obstet Gynecol Clin North Am, 20: 153, 1993 11) 三谷靖他: 現代産科婦人科学大系8E; 子宮頸癌, 妊娠と合併した子宮頸癌, 465, (1版), 中山書店, 東京, 1970 7) 今野捻子他: 妊婦の子宮頸癌検診の検討, 日臨細胞会秋田会誌, 2: 31, 1996 9) 半籐保他: 年齢別にみた子宮癌罹患率, 産婦治療, 63: 285, 1991 20) Kashimura M: Comparative Study of Cytology and Punch Biopsy in Cervical Intraepithelial Neoplasia during Pregnancy, Acta Cytol, 35: 100, 1991 21) 長谷川壽彦: コルポスコピーの実際, 日産婦会誌, 44: 161, 1992 25) 太田さなえ他: 急速な発育を来した妊娠合併子宮頸部症例の分子生物学的検討, 産婦の実際, 41: 581, 1992 18) Vooijis GP: Comprehensive Cytopathlogy; Section A Female Genital Tract; Chapter 9 Dysplasia and Carcinoma in Situ during Pregnancy, 204, (1st ed), W. B. Saunders Ca, Philadelphia, 1991 28) 唐沢哲郎他: 子宮頸部初期癌症例におけるYAGレーザー円錐切除療法後の妊娠, 分娩及び経過観察成績医療, 45: 1045, 1991 10) 高橋健太郎他: 子宮頸癌と妊娠, 産婦治療, 70: 412, 1995 |
| References_xml | – reference: 22) Campion MJ et al: Colposcopy in Pregnancy, Obstet Gynecol Clin North Am, 20: 153, 1993 – reference: 10) 高橋健太郎他: 子宮頸癌と妊娠, 産婦治療, 70: 412, 1995 – reference: 19) Hellberg D et al: Conservative Manegement of the Abnormal Smear during Pregnancy, Acta Obstet Gynecol Scand, 66: 195, 1987 – reference: 17) 工藤隆一他: 子宮頸癌と妊娠, 産と婦, 60: 635, 1993 – reference: 14) 平松祐司他: 妊娠に合併した若年子宮頸癌の検討, 産と婦, 56: 1725, 1989 – reference: 23) Gilotta PM et al: Carcinoma in Situ of the Cervix Uteri in Pregnancy, Surg Gynecol Obstet, 142: 396, 1976 – reference: 15) 上田外幸他: 妊娠に合併した婦人科腫瘍; 妊娠に合併した子宮頸癌とその取り扱い, 産婦の進歩, 40: 209, 1988 – reference: 5) 杉山裕子他: 妊婦の子宮頸部細胞診にみられた異型細胞の検討, 産と婦, 59: 1217, 1992 – reference: 28) 唐沢哲郎他: 子宮頸部初期癌症例におけるYAGレーザー円錐切除療法後の妊娠, 分娩及び経過観察成績医療, 45: 1045, 1991 – reference: 8) 石渡千恵子他; 妊婦における子宮癌検診の重要性, 日臨細胞会誌, 31: 184, 1992 – reference: 3) 岡本吉明他: 妊婦婦に対する子宮頸部細胞診の必要性と異常例に対する治療方針, 日臨細胞会誌, 33: 185, 1994 – reference: 13) 都仁哉他: 妊娠と細胞診, 日臨細胞会誌, 33: 186, 1994 – reference: 4) 柏村正道他: 妊娠中の子宮頸癌検診, 産と婦, 60: 671, 1993 – reference: 27) 岩成治他: 子宮頸部上皮内腫瘍に対するCO2Laser Conization療法後の妊娠に関する検討, 日癌治会誌, 24: 2375, 1989 – reference: 16) 牛島英隆他: 子宮頸癌合併妊娠について, 産と婦, 59: 1844, 1992 – reference: 21) 長谷川壽彦: コルポスコピーの実際, 日産婦会誌, 44: 161, 1992 – reference: 20) Kashimura M: Comparative Study of Cytology and Punch Biopsy in Cervical Intraepithelial Neoplasia during Pregnancy, Acta Cytol, 35: 100, 1991 – reference: 12) 村山行信他: 妊娠に合併した子宮頸癌8例について, 日産婦埼玉会誌, 18: 43, 1988 – reference: 1) 笹川基他: 当科で施行した妊婦の子宮頸癌検診について, 日産婦新潟会誌, 65: 14, 1992 – reference: 2) 塩田充他: 子宮頸癌と妊娠, 周産期医, 19: 307, 1989 – reference: 26) 蔵本博行他: 子宮頸部と妊孕性温存手術, 産と婦, 60: 645, 1993 – reference: 7) 今野捻子他: 妊婦の子宮頸癌検診の検討, 日臨細胞会秋田会誌, 2: 31, 1996 – reference: 24) 今野良他: 子宮頸部異形成上皮 (HPV感染) と妊娠, 産と婦, 60: 629, 1993 – reference: 18) Vooijis GP: Comprehensive Cytopathlogy; Section A Female Genital Tract; Chapter 9 Dysplasia and Carcinoma in Situ during Pregnancy, 204, (1st ed), W. B. Saunders Ca, Philadelphia, 1991 – reference: 11) 三谷靖他: 現代産科婦人科学大系8E; 子宮頸癌, 妊娠と合併した子宮頸癌, 465, (1版), 中山書店, 東京, 1970 – reference: 6) 望月修他: 妊婦の子宮頸癌検診の成績について, 産婦の実際, 41: 689, 1992 – reference: 25) 太田さなえ他: 急速な発育を来した妊娠合併子宮頸部症例の分子生物学的検討, 産婦の実際, 41: 581, 1992 – reference: 9) 半籐保他: 年齢別にみた子宮癌罹患率, 産婦治療, 63: 285, 1991 |
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| SubjectTerms | diagnosis·treatment pregnancy statistics uterine cervical cancer 妊娠 子宮頸癌 統計 診断・治療 |
| Title | UTERINE CERVICAL CANCER DURING PREGNANCY |
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