Tumors of female reproductive systemTumors of female reproductive systemОпухоли женской репродуктивной системы1994-40981999-8627Publishing House ABV Press60910.17650/1994-4098-2018-14-3-71-76GYNECOLOGY. ORIGINAL REPORTSГИНЕКОЛОГИЯ. ОРИГИНАЛЬНЫЕ СТАТЬИNon-invasive cervical cancer during pregnancy. Prognosis for mothers and childrenБеременность, ассоциированная с неинвазивным раком шейки матки. Прогноз для матерей и детейVerbitskayaE. A.ВербитскаяЕ. А.
Russian Federation

41 Kirochnaya St., Saint Petersburg 191015

191015 Санкт-Петербург, ул. Кирочная, 41

UrmancheevaA. F.УрманчееваА. Ф.

Russian Federation

41 Kirochnaya St., Saint Petersburg 191015

68 Leningradskaya St., Pesochnyi Settlement, Saint Petersburg 197758

191015 Санкт-Петербург, ул. Кирочная, 41

197758 Санкт-Петербург, пос. Песочный, ул. Ленинградская, 68

ArtemyevaA. S.АртемьеваА. С.
Russian Federation

68 Leningradskaya St., Pesochnyi Settlement, Saint Petersburg 197758

197758 Санкт-Петербург, пос. Песочный, ул. Ленинградская, 68

MikhetkoA. A.МихетькоА. А.
Russian Federation

68 Leningradskaya St., Pesochnyi Settlement, Saint Petersburg 197758

197758 Санкт-Петербург, пос. Песочный, ул. Ленинградская, 68

NovikV. I.НовикВ. И.
Russian Federation

68 Leningradskaya St., Pesochnyi Settlement, Saint Petersburg 197758

197758 Санкт-Петербург, пос. Песочный, ул. Ленинградская, 68

BerlevI. V.БерлевИ. В.
Russian Federation

41 Kirochnaya St., Saint Petersburg 191015

68 Leningradskaya St., Pesochnyi Settlement, Saint Petersburg 197758

191015 Санкт-Петербург, ул. Кирочная, 41

197758 Санкт-Петербург, пос. Песочный, ул. Ленинградская, 68

MikayaN. A.МикаяН. А.
Russian Federation

68 Leningradskaya St., Pesochnyi Settlement, Saint Petersburg 197758

197758 Санкт-Петербург, пос. Песочный, ул. Ленинградская, 68

UlrikhE. A.УльрихЕ. А.
Russian Federation

41 Kirochnaya St., Saint Petersburg 191015

68 Leningradskaya St., Pesochnyi Settlement, Saint Petersburg 197758

2 Litovskaya St., Saint Petersburg 194100

191015 Санкт-Петербург, ул. Кирочная, 41

197758 Санкт-Петербург, пос. Песочный, ул. Ленинградская, 68

194100 Санкт-Петербург, ул. Литовская, 2

elenaulrikh@gmail.comI.I. Mechnikov North-Western State Medical University Ministry of Health of RussiaФГБОУ ВО «Северо-Западный государственный медицинский университет им. И.И. Мечникова» Минздрава РоссииN.N. Petrov National Medical Research Center of Onclology, Ministry of Health of RussiaФГБУ «Национальный медицинский исследовательский центр онкологии им. Н.Н. Петрова» Минздрава РоссииSaint Petersburg State Pediatric Medical University, Ministry of Health of RussiaФГБОУ ВО «Санкт-Петербургский государственный педиатрический медицинский университет»1610201814371761610201816102018https://ojrs.abvpress.ru/ojrs/article/view/609

The problem of malignant tumors in pregnant women is becoming increasingly relevant in recent years primarily due to the postponement of childbirth. In 2014, the mean age of Russian women at first birth was 28.1 years, whereas in 1995, mean age was 24.9 years (Russian annual demographic report for 2015). Cervical carcinoma (primarily preinvasive) is the most common gynecologic malignancy in pregnant women. The doctor and the patient have to choose between immediate treatment and preservation of pregnancy, and, therefore, delayed anticancer therapy. We analyzed 17-year experience of managing pregnant women with non-invasive cervical cancer followed up in the N.N. Petrov National Medical Research Center of Onclology, Ministry of Health of Russia, and also summarized the strategy used in the diagnosis, treatment and monitoring of such patients.

Актуальность сочетания злокачественных опухолей с беременностью возрастает с каждым годом. В первую очередь это связано с отсрочкой деторождения. Так, в 2014 г. средний возраст российских женщин при рождении ребенка составлял 28,1 года, в отличие от 24,9 года в 1995 г. (по данным демографического ежегодника России за 2015 г.). Самой частой онкогинекологической опухолью, сочетающейся с беременностью, является карцинома шейки матки. При этом наиболее распространенной клинической ситуацией является преинвазивный рак шейки матки. Врач и пациент оказываются перед выбором незамедлительного лечения либо сохранения беременности и отсроченного лечения опухоли. В статье проанализирован 17-летний опыт ведения больных неинвазивным раком шейки матки на фоне беременности на базе ФГБУ «Национальный медицинский исследовательский центр онкологии им. Н.Н. Петрова» Минздрава России и резюмирована тактика диагностики, лечения и наблюдения таких пациенток.

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