[Diagnosis and therapy of 36 alleged early forms of cervical carcinoma in pregnancy (author's transl)].

The early forms of cervical carcinoma are meant to include in situ carcinoma of the portio and early-invasive squamous epithelium carcinoma with 5 mm in maximum depth of invasion. Thirty-six pregnant women were admitted to the authors' department, between January 1st, 1970 and December 31st, 1978, who were between the forth and 20th weeks of pregnancy and had produced positive response to portio cell swab tests. The average age of the patients was 28 years. All cytological findings had been histologically verified by conisation. Cerclage, according to Shirodkar, was applied prior to conisation to avoid excessive gestational bleeding from the conus bed, with attempts being made to obtain compression of the descending branch of the uterine vessels. The sections obtained from conisation gave the following histological results: moderate dysplasia in ten patients, severe dysplasia of the Cervix of eight patients, in situ carcinoma in 16 patients, and beginning stroma invasion in terms of Ia collum carcinoma in two patients. No abortion at all occurred to any of the patients with such conisation in early pregnancy. Thirty-four patients had no-complication vaginal deliveries. Caesarean section had to be applied to two women for EPH gestosis or imminent intra-uterine asphyxia. Conisation did not cause the occurrence of any major injury to the uterine cervix at the time of vaginal delivery.