Cervical cytology and conservative management of cervical XXXX during pregnancy.

@entity1 @entity5 @entity189 @entity3799 @entity1141
To elucidate the clinical significance of cervical cytology during pregnancy, 7,725 pregnant @entity1 were examined. Abnormal cytologic findings were recorded in 65 cases (0.8%). Colposcopically directed punch biopsies revealed @entity3799 and @entity189 in 27 cases (0.35%). The incidences in a massive examination for 714,119 @entity1 in Osaka Prefecture were 1.1% and 0.25%, respectively. Cytologic findings of the @entity1 with cervical @entity5 during pregnancy agreed well (76%) with their histologic findings. Colposcopically, the squamo-columnar junction was visible in many cases, and white epithelium was most commonly observed during pregnancy. Pre- and postpartum follow-up study revealed that progression from @entity1141 was seen only in two (20%) of 20 cases. Laser conization was performed on six @entity1 during pregnancy, and four were @entity189 , all of which underwent normal vaginal delivery without any complication from conization. These results suggest that routine cervical cytology must be performed during pregnancy, and cytologic and colposcopic diagnosis may supply enough data to avoid unnecessary biopsies. Moreover, laser conization is recommended as an excellent diagnostic and therapeutic procedure for @entity1 with @entity189 during pregnancy.
