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孕期癌症治疗的产科及新生儿结局

Obstetric and neonatal outcomes of cancer treated during pregnancy.

作者信息

Walton Janelle R, Prasad Mona R

机构信息

Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Northwestern University, Feinberg School of Medicine, Chicago, Illinois, USA.

出版信息

Clin Obstet Gynecol. 2011 Dec;54(4):567-73. doi: 10.1097/GRF.0b013e318236e781.

Abstract

Cancer diagnosed during pregnancy is a rare occurrence with an incidence of 0.1% of all pregnancies. However, its management can be challenging at times as one balances maternal benefit to fetal risk. Various treatment modalities are used in this context including surgical intervention, chemotherapy, and radiologic therapy. This review seeks to address the impact of pregnancy on disease as well as the effect of malignancy and its treatment on both mother and fetus. Attention is focused on the more common malignancies associated with pregnancy: cervix, breast, melanoma, and hematologic malignancies. In addition, special emphasis is placed on timing of delivery and how that affects neonatal outcomes.

摘要

孕期诊断出癌症的情况较为罕见,在所有妊娠中发生率为0.1%。然而,由于要平衡母亲的获益与胎儿的风险,其管理有时颇具挑战性。在此背景下会采用多种治疗方式,包括手术干预、化疗和放射治疗。本综述旨在探讨妊娠对疾病的影响以及恶性肿瘤及其治疗对母亲和胎儿的影响。重点关注与妊娠相关的较常见恶性肿瘤:宫颈癌、乳腺癌、黑色素瘤和血液系统恶性肿瘤。此外,特别强调分娩时机及其对新生儿结局的影响。

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