妊娠期癌症。第一部分：基本诊断和治疗原则及妇科恶性肿瘤的治疗。
Cancer in pregnancy. Part I: basic diagnostic and therapeutic principles and treatment of gynecological malignancies.
机构信息
Department of Obstetrics and Gynecology, University Hospital of Schleswig-Holstein, Campus Luebeck, Ratzeburger Allee 160, 23538, Luebeck, Germany.
出版信息
Arch Gynecol Obstet. 2012 Jan;285(1):195-205. doi: 10.1007/s00404-011-2058-8. Epub 2011 Aug 20.
PURPOSE
Cancer in pregnancy is a rare circumstance. However, the coincidence of pregnancy and malignancy is supposed to increase due to a general tendency of postponing childbearing to older age. To date, clinical guidelines are scarce and experience regarding therapeutic management is limited to case reports.
METHODS
This review focuses on general diagnostic and therapeutic principles including systemic therapy for malignancies in pregnancy.
RESULTS
In part I, we report on diagnosis and therapy of gynecological tumors.
CONCLUSION
The diagnosis of gestational cancer faces both oncologist and obstetrician to the dilemma of applying appropriate diagnostic techniques and adequate local and systemic therapy to an expectant mother without harming the fetus.
目的
妊娠合并癌症较为少见。然而，由于人们普遍倾向于晚育，怀孕和恶性肿瘤同时发生的几率预计会增加。目前，临床指南稀缺，治疗管理方面的经验仅限于病例报告。
方法
本综述重点关注一般诊断和治疗原则，包括妊娠期间恶性肿瘤的系统治疗。
结果
在第一部分中，我们报告了妇科肿瘤的诊断和治疗。
结论
妊娠合并癌症的诊断使肿瘤学家和产科医生都面临着困境，他们需要在不伤害胎儿的情况下，为孕妇应用适当的诊断技术和局部及全身治疗。
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