Mancari Rosanna, Tomasi-Cont Nicoletta, Sarno Maria Anna, Azim Hatem A, Franchi Dorella, Carinelli Silvestro, Biglia Nicoletta, Colombo Nicoletta, Peccatori Fedro Alessandro
*Medical Gynecologic Oncology Division, European Institute of Oncology, Milan, Italy; †Academic Division of Gynaecology and Obstetrics, Mauriziano Hospital "Umberto I," University of Turin, Turin, Italy; ‡Fertility and Pregnancy Unit, Medical Gynecologic Oncology Division, European Institute of Oncology, Milan, Italy; §Breast Cancer Translational Research Laboratory J.C. Heuson, Institut Jules Bordet, Université Libre de Bruxelles, Brussels, Belgium; ∥Preventive Gynecology Division and ¶Pathology Division, European Institute of Oncology, Milan, Italy; **Academic Division of Gynaecology and Obstetrics, Mauriziano Hospital "Umberto I," University of Turin, Turin, Italy; and ††Medical Gynecologic Oncology Division, European Institute of Oncology, University of Milan-Bicocca, Italy.
Int J Gynecol Cancer. 2014 Jul;24(6):967-72. doi: 10.1097/IGC.0000000000000161.
Diagnosis of ovarian mass during pregnancy is a rare event. Treatment of ovarian malignancies during pregnancy depends on histology, grade, stage, and gestational weeks. When possible, surgical excision is indicated, and sometimes, fertility-sparing surgery is recommended. Administration of systemic treatment before or after surgery is indicated as in nonpregnant women. Preliminary data suggest that platinum salts and taxanes are safe during pregnancy. Management of ovarian tumors in pregnancy requires a multidisciplinary approach to guarantee an optimal treatment for the mother and the fetus.
孕期卵巢肿物的诊断是罕见情况。孕期卵巢恶性肿瘤的治疗取决于组织学类型、分级、分期及孕周。可能的话，应进行手术切除，有时也推荐保留生育功能的手术。与非孕期女性一样，术前或术后均需进行全身治疗。初步数据表明，铂盐和紫杉烷类在孕期是安全的。孕期卵巢肿瘤的管理需要多学科方法，以确保为母亲和胎儿提供最佳治疗。
