ABSTRACT
A etiology, epidemiology, diagnosis, and treatment of each disease site is presented, with specific reference to pregnancy. The most common gynecologic neoplasia encountered during pregnancy arises from the cervix, including both invasive and preinvasive diseases. The pregnant cervix is actually quite amenable to colposcopy, as the transformation zone tends to evert as pregnancy progresses and allows for optimal colposcopic visualization of the cervix. The so-called coin biopsy has been described as a safe method for performing diagnostic conization during pregnancy. However, as the side effects the radioisotope required for the study may have on the developing fetus remains unclear, Positron emission tomography is considered contraindicated at this time during pregnancy. Hysterectomy should be performed during pregnancy only if it contributes significantly to tumor debulking and overall prognosis. Diagnostic procedures commonly used to assess sarcomas include radiographs with abdominal shielding during pregnancy.
