Abstract
In the original article, the authors summarize recommendations for cervical screening in pregnant women from the perspective of American care. This article is very current even for our conditions.
In the Czech Republic, we are seeing an increasing average age of mothers, many women postpone pregnancy after the age of 30, and in addition, many women strive for another pregnancy after the age of 35. This increases the frequency with which the gynecologist encounters cervical precancerous lesions as well as invasive carcinomas.
HG-SIL lesions appear in the group of the University Hospital in Motol on average at the age of 31.5 years, microinvasive carcinomas on average at 40.5 years. A look at the tumor statistics of the Czech Republic is relentless.
Every year, we diagnose invasive cancer in an average of 150 women under the age of 35 (approximately 15% of all invasive cancers) and other invasive cancers in the cohort of 35-39 years. The realistic estimate is that during pregnancy we diagnose 3-5 carcinomas per year (1 cancer per 20-30,000 births) and 75-100 high-grade lesions (one HG-SIL lesion per 1,000-1,300 births).
In the cohort of pregnant women between the ages of 30 and 40, the number of severe precancerous lesions will increase.