Gynecologic malignancy in pregnancy.
10.5468/ogs.2013.56.5.289
- Author:
Yong Il JI
1
;
Ki Tae KIM
Author Information
1. Department of Obstetrics and Gynecology, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.
- Publication Type:Review
- Keywords:
Chemotherapy;
Gynecologic cancer;
Pregnancy;
Radiotherapy
- MeSH:
Female;
Fetus;
Humans;
Laparoscopy;
Laparotomy;
Postpartum Period;
Pregnancy;
Pregnancy Trimester, First;
Recurrence
- From:Obstetrics & Gynecology Science
2013;56(5):289-300
- CountryRepublic of Korea
- Language:English
-
Abstract:
Gynecologic malignancy during pregnancy is a stressful problem. For the diagnosis and treatment of malignancy during pregnancy, a multidisciplinary approach is needed. Patients should be advised about the benefits and risk of treatment. When selecting a treatment for malignancy during pregnancy, the physiologic changes that occur with the pregnancy should be considered. Various diagnostic procedures that do not harm the fetus can be used. Laparoscopic surgery or laparotomy may be safely performed. The staging approach and treatment should be standard. Systemic chemotherapy during the first trimester should be delayed if possible. Radiation therapy should preferably start postpartum. Although delivery should be delayed preferably until after 35 weeks of gestation, termination of pregnancy may be considered when immediate treatment is required. Subsequent pregnancies do not increase the risk of malignancy recurrence.
