MEDICAL UNIVERSITY OF VARNA, OBSTETRICS AND GYNAECOLOGY CLINIC, ST. ANNA UNIVERSITY HOSPITAL, VARNA, BULGARIA.
OBSTETRICS AND GYNAECOLOGY CLINIC, ST. ANNA UNIVERSITY HOSPITAL, VARNA, BULGARIA.
Wiad Lek. 2021;74(8):1984-1987.
We review the current research literature on treatment behaviour for neoplasms of the female genital tract during pregnancy. Guidelines for clinical management of cervical cancer, ovarian tumours, and vulvar cancer are presented both regarding gynaecological oncologic treatment and obstetrics. Cervical cancer is the most common malignant tumour of the female genitalia during pregnancy due to the high incidence of this neoplasm in developing countries, including Bulgaria, on the one hand, and on the other, it affects women of reproductive age. Treatment algorithms depending on various factors - gestational age, stage of the disease, tumour lesion size, and presence of pelvic lymph node metastases, are presented. Ovarian tumours are classified into benign, borderline malignant, and malignant tumours. The latter, in turn, are divided into early and advanced stages, as well as epithelial and non-epithelial tumours, which can be detected at different stages of pregnancy.
我们回顾了目前关于女性生殖道肿瘤在妊娠期间治疗行为的研究文献。本文提出了针对宫颈癌、卵巢肿瘤和外阴癌的临床管理指南，包括妇科肿瘤治疗和产科方面。由于宫颈癌在发展中国家（包括保加利亚）的发病率较高，因此它是妊娠期间女性生殖器官最常见的恶性肿瘤，而且它还会影响育龄妇女。本文还提出了根据各种因素（妊娠龄、疾病分期、肿瘤病变大小和盆腔淋巴结转移的存在）制定的治疗算法。卵巢肿瘤分为良性、交界性和恶性肿瘤。后者又分为早期和晚期，以及上皮性和非上皮性肿瘤，这些肿瘤可在妊娠的不同阶段被检测到。
