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癌症康复后的妊娠:国际妇产科联盟最佳实践建议

Pregnancy after cancer: FIGO Best practice advice.

作者信息

Maxwell Cynthia, Adam Sumaiya, Bergman Lina, Nanda Surabhi, Tiempo Guinto Valerie, Popovits-Hadari Noa, Al-Bakri Maisah, Nwokoro Ifeyinwa, McAuliffe Fionnuala, Peters Inge, Nelson-Piercy Catherine, Amant Frederic, Nana Melanie, Smith Graeme, Berek Jonathan, McNally Orla, Nguyen-Hoang Long, Medina-Palmezano Virna P, O'Reilly Sharleen, Ruiloba Francisco, O'Brien Pat, Jacobsson Bo, Wilailak Sarikapan, Poon Liona C

机构信息

Department of Obstetrics and Gynecology, Women's College Hospital and Mount Sinai Hospital, Toronto, Ontario, Canada.

Department of Obstetrics and Gynaecology, School of Medicine, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.

出版信息

Int J Gynaecol Obstet. 2025 Jun;169(3):1119-1126. doi: 10.1002/ijgo.70139. Epub 2025 May 10.

DOI:10.1002/ijgo.70139
PMID:40347102
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12093925/
Abstract

Advances in cancer care have led to a growing number of cancer survivors globally. As cancer increasingly affects women and people of reproductive age, more individuals will be experiencing pregnancy after completing cancer treatment. This Best Practice Advice manuscript describes the epidemiology of pregnancy after cancer, recommended clinical evaluation before pregnancy, key components of pregnancy care for cancer survivors, considerations for delivery planning and postpartum care, and suggested steps for future health and prevention.

摘要

癌症治疗的进展导致全球癌症幸存者的数量不断增加。由于癌症越来越多地影响到女性和育龄人群,越来越多的人在完成癌症治疗后会经历怀孕。这份最佳实践建议文稿描述了癌症后怀孕的流行病学、怀孕前推荐的临床评估、癌症幸存者孕期护理的关键组成部分、分娩计划和产后护理的注意事项,以及未来健康和预防的建议步骤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f1f/12093925/4b43751a47b2/IJGO-169-1119-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f1f/12093925/481ca7a34d40/IJGO-169-1119-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f1f/12093925/4b43751a47b2/IJGO-169-1119-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f1f/12093925/481ca7a34d40/IJGO-169-1119-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f1f/12093925/4b43751a47b2/IJGO-169-1119-g001.jpg

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Pregnancy after cancer: FIGO Best practice advice.癌症康复后的妊娠:国际妇产科联盟最佳实践建议
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本文引用的文献

1
Post-traumatic stress disorder and symptoms in paediatric cancer survivors and their family nucleus: systematic review, meta-analysis and meta-regression.儿童癌症幸存者及其核心家庭中的创伤后应激障碍及症状:系统评价、荟萃分析和荟萃回归
BJPsych Open. 2024 Nov 11;10(6):e207. doi: 10.1192/bjo.2024.805.
2
Risks of adverse obstetric outcomes among female survivors of adolescent and young adult cancer in England (TYACSS): a population-based, retrospective cohort study.英格兰青少年和青年期癌症女性幸存者的不良产科结局风险(TYACSS):一项基于人群的回顾性队列研究。
Lancet Oncol. 2024 Aug;25(8):1080-1091. doi: 10.1016/S1470-2045(24)00269-9. Epub 2024 Jun 26.
3
Maternal death by cancer in pregnancy: A descriptive study of the International Network on Cancer, Infertility and Pregnancy.
妊娠相关癌症导致的孕产妇死亡:国际癌症、不孕与妊娠网络的描述性研究。
BJOG. 2024 Nov;131(12):1694-1704. doi: 10.1111/1471-0528.17894. Epub 2024 Jun 25.
4
Pregnancy After Breast Cancer in Young BRCA Carriers: An International Hospital-Based Cohort Study.年轻 BRCA 携带者乳腺癌后妊娠:一项国际基于医院的队列研究。
JAMA. 2024 Jan 2;331(1):49-59. doi: 10.1001/jama.2023.25463.
5
Vaginal Estrogen Therapy Use and Survival in Females With Breast Cancer.患有乳腺癌的女性使用阴道雌激素治疗与生存。
JAMA Oncol. 2024 Jan 1;10(1):103-108. doi: 10.1001/jamaoncol.2023.4508.
6
Dose Volume and Liver Function Test Relationship following Radiotheraphy for Right Breast Cancer: A Multicenter Study.右乳腺癌放疗后剂量体积与肝功能试验的关系:一项多中心研究。
Curr Oncol. 2023 Sep 26;30(10):8763-8773. doi: 10.3390/curroncol30100632.
7
Cancer treatment therapies: traditional to modern approaches to combat cancers.癌症治疗疗法:从传统到现代方法对抗癌症。
Mol Biol Rep. 2023 Nov;50(11):9663-9676. doi: 10.1007/s11033-023-08809-3. Epub 2023 Oct 12.
8
Pregnancy rate, maternal and neonatal outcomes among breast cancer survivors: A systematic review.乳腺癌幸存者的妊娠率、母婴结局:系统评价。
Nurs Open. 2023 Oct;10(10):6690-6707. doi: 10.1002/nop2.1941. Epub 2023 Aug 1.
9
Cancer and Postradiotherapy Cardiotoxicity: How to Face Damage in Women's Hearts?癌症与放射治疗后心脏毒性:如何应对女性心脏损伤?
Eur Cardiol. 2023 Mar 29;18:e08. doi: 10.15420/ecr.2022.36. eCollection 2023.
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Fertility-Sparing Treatment for Early-Stage Cervical Cancer ≥ 2 cm: Can One Still Effectively Become a Mother? A Systematic Review of Fertility Outcomes.早期宫颈癌(≥2 厘米)的保留生育功能治疗:是否仍能有效地成为母亲?生育结局的系统评价。
Ann Surg Oncol. 2023 Sep;30(9):5587-5596. doi: 10.1245/s10434-023-13542-z. Epub 2023 Jun 1.