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预后、咨询以及终止妊娠的指征。

Prognosis, counseling, and indications for termination of pregnancy.

机构信息

Icahn School of Medicine at Mount Sinai West, 1000 10th Ave., New York, NY, 10019, USA.

出版信息

Abdom Radiol (NY). 2023 May;48(5):1612-1617. doi: 10.1007/s00261-022-03772-2. Epub 2022 Dec 20.

Abstract

As the coincidence of pregnancy and cancer rise, clinicians must be prepared to counsel their patients on the complex relationship between maternal and fetal health. In most types of cancer, maternal prognosis mirrors that of non-pregnant women. However, challenges associated with the timing of diagnosis and treatment can present additional risks. Consequently, pregnant cancer patients must be counseled early and effectively with regard to how their pregnancy status affects treatment options and the range of expected outcomes for both mother and fetus. Some patients choose to terminate pregnancy after such counseling, though the specific course of action depends on the cancer in question, the stage at diagnosis, and the personal priorities and values of the patient.

摘要

随着妊娠和癌症同时发生的概率上升,临床医生必须准备好就母婴健康之间的复杂关系为患者提供咨询。在大多数类型的癌症中,母体的预后与非孕妇相同。然而,与诊断和治疗时间相关的挑战可能会带来额外的风险。因此,必须尽早并有效地向怀孕的癌症患者提供咨询,说明其妊娠状况如何影响治疗选择以及母婴预期结果的范围。一些患者在接受此类咨询后选择终止妊娠,但具体的行动方案取决于具体的癌症类型、诊断时的阶段以及患者的个人优先事项和价值观。

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