Gynaecological malignancies in pregnancy

Gynaecological malignancies in pregnancy
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DOI:
10.1097/gco.0b013e3280464f0c
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发表时间:
2007-04-01
影响因子:
2.1
通讯作者:
Latimer, John
Latimer, John
中科院分区:
医学4区
文献类型:
--
作者:
Latimer, John

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综述的目的是回顾与妊娠相关的妇科癌症的处理。考虑到癌症对妊娠的影响,以及妊娠对癌症的影响,最近的发现妊娠期妇科癌症的处理仍然是妇科肿瘤团队的一个罕见的问题。这不可避免地意味着,许多管理决策将通过相对较小的案例系列和案例报告来提供信息。有一些有趣的报道,在妊娠期间延长妊娠以实现宫颈和卵巢癌的胎儿存活率,这些都将在下面进行讨论。摘要任何怀孕期间的癌症对妇女和她的伴侣来说都是灾难性的事件,并对负责她的护理的多学科团队构成了巨大的挑战。怀孕期间的妇科癌症压力更大,因为女性自然会担心孩子的存活,以及对未来生育能力的影响。幸运的是,对大多数妇女和她们的婴儿来说,结果是有利的。
Purpose of review To review the management of gynaecological cancers occurring in association with pregnancy. To consider the impact of the cancer on the pregnancy, and the impact of the pregnancy on the cancer,Recent findings The management of gynaecological cancers in pregnancy remains, fortunately, a rare problem for the gynaecological oncology team. This inevitably means that many management decisions will be informed by relatively small case series and case reports. There have been interesting reports where pregnancy has been prolonged to achieve fetal viability in both cervix and ovary cancer in pregnancy, and these are discussed below.Summary Any cancer in pregnancy is a catastrophic event for the woman and her partner, and poses great challenges for the multidisciplinary team responsible for her care. Gynaecological cancers in pregnancy are even more stressful as the woman will naturally worry about the survival of her baby, and the implications for her future fertility. Fortunately the outcome for most women and their babies is favourable.