How would you approach a diagnostic excisional procedure for a pregnant patient with exam concerning for carcinoma and cervical biopsies (x 2) suspicious for foci of invasive disease?  

First of all, I am very conservative in the management of cervical ca in pregnancy. Having said that, it appears that with a lesion I assume it was what was biopsied and showed questionable invasivion. I would re-biopsy the lesion, getting a good bite out of the lesion. If this is cancer you should...