title: Triage of the abnormal Papanicolaou smear in pregnancy.
abstract: Triage of the abnormal Papanicolaou smear in pregnancy requires colposcopic evaluation and directed biopsy. If histologic cervical intraepithelial neoplasia is confirmed, the patient can be managed with observations and can be re-evaluated in the postpartum period. If evidence of microinvasion is present, conization must be performed. For patients with invasive disease, a delay in therapy until fetal maturity is achieved does not compromise survival.
authors.affiliation: Department of Family Medicine, University of Michigan Medical School, Ann Arbor, Michigan, USA. bapgar@umich.edu
authors.forename: B S
authors.initials: BS
authors.lastname: Apgar
authors.forename: L B
authors.initials: LB
authors.lastname: Zoschnick
mesh_terms: D000465:Algorithms; D001706:Biopsy; D003127:Colposcopy; D019092:Conization; D003663:Decision Trees; D005260:Female; D006801:Humans; D009367:Neoplasm Staging; D065006:Papanicolaou Test; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000175:diagnosis* / Q000628:therapy*; D014218:Triage / Q000379:methods*; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis* / Q000628:therapy*; D014626:Vaginal Smears