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Malignant adnexal masses in pregnancy
Hamid Sayar1, Catherine Lhomme, Claire F Verschraegen
1Cancer Research and Treatment Center, Division of Hematology Oncology, University of New Mexico, 900 Camino de Salud NE, Albuquerque, NM 87131, USA. cverschraegen@salud.unm.edu
Obstetrics and Gynecology Clinics of North America
|November 29, 2005
Summary
Diagnosing ovarian tumors during pregnancy is rare but distressing. Prioritizing maternal safety, treatment aims to preserve both mother and fetus, requiring a specialized multidisciplinary team for optimal care.
Area of Science:
- Gynecologic Oncology
- Maternal-Fetal Medicine
- Reproductive Endocrinology
Background:
- Ovarian tumors in pregnancy are infrequent but pose significant challenges.
- A cancer diagnosis during gestation causes considerable emotional distress for expectant parents.
Purpose of the Study:
- To outline the critical considerations for managing ovarian tumors diagnosed during pregnancy.
- To emphasize the importance of a coordinated, multidisciplinary approach to ensure optimal outcomes for both mother and fetus.
Main Methods:
- Review of current literature and clinical guidelines for managing gynecologic malignancies in pregnant patients.
- Emphasis on a collaborative care model involving various medical specialists.
Main Results:
- Maternal safety is the primary concern in all treatment decisions.
- Treatment strategies should focus on minimizing risks to both the mother and the developing fetus.
- Successful management necessitates a coordinated effort from a specialized team.
Conclusions:
- Management of ovarian tumors during pregnancy requires careful balancing of oncologic treatment and obstetric care.
- A multidisciplinary team, including high-risk obstetricians and specialized oncologists, is essential for comprehensive patient management.
- Prioritizing maternal and fetal well-being guides treatment planning and execution.