Management of gynecological cancer in pregnant patients

Capriglione, Stella; Manzano, Aránzazu; Gulino, Ferdinando Antonio; Lopez, Salvatore

doi:10.23736/s0026-4784.18.04324-1

Cited by 3 publications

(2 citation statements)

References 90 publications

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“…El cáncer colorrectal es poco frecuente en embarazadas (26). La frecuencia estimada varía de 1 caso por 13 000 a 100 000 embarazos (0,002 %) (27,28). La localización más común en embarazadas es el recto (64 % -86 %) y generalmente es diagnosticado en estadio clínico III (60 %) en el segundo o tercer trimestre (29).…”

Section: Cáncer Colorrectalunclassified

Manejo de neoplasias malignas gastrointestinales durante el embarazo

Reyna-Villasmil

2021

RSOGV

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The incidence of cancer during pregnancy is rare and is often diagnosed in advanced stages. The frequency has increased due to delayed motherhood along with the increase in age-dependent malignancies among young adults. The most common cancers diagnosed during pregnancy are breast, cervical, hematological (lymphomas and acute leukemias) and melanoma. The least common are gastrointestinal. Diagnosis is challenging, the symptomatology is often attributed to the symptoms of pregnancy, which could delay diagnosis and allow the cancer to progress to advanced stages. Treating physicians have two problems in these pregnant women: the need for early treatment of maternal cancer and the timing of termination of pregnancy. Physicians should be aware of the challenges associated with managing pregnant women with this condition and quickly formulate therapeutic plans according to gestational age. Keywords: Malignant tumors, Gastrointestinal system, Cancer, Management, Diagnosis, Treatment.

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Section: Cáncer Colorrectalunclassified

Manejo de neoplasias malignas gastrointestinales durante el embarazo

Reyna-Villasmil

2021

RSOGV

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“…Several case studies and retrospective reviews note that standard chemotherapy with carboplatin and paclitaxel can be utilized without fetal harm after the first trimester and with similar outcomes to non-pregnant women. 6,13 –15 Intrapartum chemotherapy is necessary in many cases for optimal oncologic outcomes for the mother.…”

Section: Medical Oncology Perspectivementioning

confidence: 99%

A Mother in Jeopardy: The Ethics of Pregnancy and Chemotherapy

Baumrucker

Vogel

Stolick

et al. 2019

Am J Hosp Palliat Care

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JM is a 32-year-old primagravida with polycystic ovary disease. She had extreme difficulty conceiving and was started on clomiphene 6 months ago by her fertility specialist. After doubling the dose on the sixth cycle, she successfully became pregnant. On her second prenatal visit at 12 weeks gestation, an ovarian cyst was detected. Ultrasound showed a complex ovarian mass with nodules on the bowel and abdominal wall. There was mild-to-moderate peritoneal fluid. Cytology showed adenocarcinoma of ovarian origin. Further workup demonstrated advanced stage III epithelial ovarian cancer. JM was referred to GYN-oncology who felt pregnancy-sparing debulking was not an option. The oncologist recommended termination of pregnancy due to the risks of delaying chemotherapy. JM refused, citing her fertility difficulties in the past and her desire to carry the pregnancy to term “even if it kills me.” She tells the oncologist she cannot bear the thought of terminating her pregnancy under any circumstances. The oncologist wants to comply with her wishes but feels the patient is making a choice that would result in harm to herself. The oncology team requests an ethics consult.

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New evidences and clarifications by world leaders in maternal fetal medicine

Sisti

2019

Minerva Ginecol

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Management of gynecological cancer in pregnant patients

Cited by 3 publications

References 90 publications

Manejo de neoplasias malignas gastrointestinales durante el embarazo

Manejo de neoplasias malignas gastrointestinales durante el embarazo

A Mother in Jeopardy: The Ethics of Pregnancy and Chemotherapy

New evidences and clarifications by world leaders in maternal fetal medicine

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