How would you approach a diagnostic excisional procedure for a pregnant patient with exam concerning for carcinoma and cervical biopsies (x 2) suspicious for foci of invasive disease?

Topics: Gynecologic Cancers • Cervical Cancer

Patient is currently 7 weeks GA with 1.5cm visible lesion. MFM recommends 13wk CKC vs LEEP with cerclage at that time.

Answer from: at Academic Institution

First of all, I am very conservative in the management of cervical ca in pregnancy. Having said that, it appears that with a lesion I assume it was what was biopsied and showed questionable invasivion. I would re-biopsy the lesion, getting a good bite out of the lesion. If this is cancer you should...

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