Latimer John
Addenbrooke's Hospital, Cambridge, UK.
Curr Opin Obstet Gynecol. 2007 Apr;19(2):140-4. doi: 10.1097/GCO.0b013e3280464f0c.
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.
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.
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.
回顾与妊娠相关的妇科癌症的管理。考虑癌症对妊娠的影响，以及妊娠对癌症的影响。
幸运的是，妊娠期间妇科癌症的管理对妇科肿瘤团队来说仍然是一个罕见的问题。这不可避免地意味着许多管理决策将基于相对较小的病例系列和病例报告。有一些有趣的报告，其中在妊娠合并宫颈癌和卵巢癌的情况下，妊娠被延长以实现胎儿存活，这些将在下面讨论。
妊娠期间的任何癌症对女性及其伴侣来说都是一场灾难，对负责其护理的多学科团队构成巨大挑战。妊娠合并妇科癌症的压力更大，因为女性自然会担心胎儿的存活以及对其未来生育能力的影响。幸运的是，大多数女性及其胎儿的结局是良好的。
