INCIDENCIA Y MANEJO DEL CÁNCER DE CERVIX Y EMBARAZO HOSPITAL MATERNO INFANTIL GERMÁN URQUIDI 2004 - 2008
Abstract
El carcinoma de cuello uterino es el proceso maligno ginecológico más frecuente asociado con el embarazo. Sin embargo existe poca información objetiva relacionada con el efecto del cáncer del cuello uterino sobre el embarazo o el impacto del embarazo sobre la historia natural del cáncer de cuello uterino(1). Nuestro objetivo general es identificar factores de riesgo que causan morbimortalidad maternofetal en pacientes embarazadas que cursan con cáncer de cervix. El estudio se realizó en el Hospital Materno Infantil Germán Urquidi durante las gestiones 2004 al 2008 donde observamos que del total de pacientes hospitalizadas en este servicio, el 95 % corresponde a casos obstétricos, siendo la prevalencia del cáncer de cervix y embarazo de 0,04%. Las complicaciones más frecuentes durante el embarazo fueron el sangrado genital, la amenaza de parto pretérmino y la amenaza de aborto. En cuanto a la resolución del embarazo en el carcinoma in situ, esta fue cesárea + histerectomía (66%); en el cáncer invasor (ler trimestre) interrupción del embarazo con histerectomía en bloque, en el (3er trimestre) cesárea (75%) y cesárea + histerectomía (16%). Durante el puerperio la complicación más frecuente fue la anemia. La conducta a tomarse en estas pacientes es fundamentalmente dependiente de la edad gestacional y las características de la lesión tumoral.
The cervix cáncer is the more frequent gynecological wicked process associated with the pregnancy. However little objective information related with the effect of the cáncer of the uterine neck exists on the pregnancy or the impact of thepregnancy on the natural history of the cervix cáncer. (1) Our objective is to identify factors of risk that cause "morbimortalidad maternofetal" in patients that study with cervix cáncer and pregnancy. The study was carried out in the Hospital Maternal Infantile Germán Urquidi during the administrations 2004 at the 2008 where we observe that of the total of patients hospitalized in this service 95% it corresponds to obstetric cases, being the prevalent of the cervix cáncer and pregnancy of 0,04%. The most frequent complications during the pregnancy were the one bled genital, the threat of childbirth premature and the abortion threat. As for the resolution of the pregnancy in the carcinoma in situ was Caesarean + hysterectomy (66%); in the cáncer invader (ler trimester) interruption of the pregnancy with total hysterectomy, in the (3er trimester) Caesarean operation (75%) and Caesarean operation + hysterectomy (16%). During the puerpery the most frequent complication was the anemia. The behavior to take in these patients is fundamentally dependent of the age gestational and the characteristics of the lesión tumoral.
The cervix cáncer is the more frequent gynecological wicked process associated with the pregnancy. However little objective information related with the effect of the cáncer of the uterine neck exists on the pregnancy or the impact of thepregnancy on the natural history of the cervix cáncer. (1) Our objective is to identify factors of risk that cause "morbimortalidad maternofetal" in patients that study with cervix cáncer and pregnancy. The study was carried out in the Hospital Maternal Infantile Germán Urquidi during the administrations 2004 at the 2008 where we observe that of the total of patients hospitalized in this service 95% it corresponds to obstetric cases, being the prevalent of the cervix cáncer and pregnancy of 0,04%. The most frequent complications during the pregnancy were the one bled genital, the threat of childbirth premature and the abortion threat. As for the resolution of the pregnancy in the carcinoma in situ was Caesarean + hysterectomy (66%); in the cáncer invader (ler trimester) interruption of the pregnancy with total hysterectomy, in the (3er trimester) Caesarean operation (75%) and Caesarean operation + hysterectomy (16%). During the puerpery the most frequent complication was the anemia. The behavior to take in these patients is fundamentally dependent of the age gestational and the characteristics of the lesión tumoral.
Description
Vol. 33, No. 1