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Cancer During Pregnancy: The Oncologist Overview
Adriana Hepner1, Daniel Negrini1, Eliane Azeka Hase2
1Medical Oncology Service, Instituto do Cancer do Estado de Sao Paulo, Universidade de Sao Paulo, Sao Paulo, Brazil.
Cancer during pregnancy requires prompt diagnosis and treatment, balancing maternal care with fetal safety. This review covers epidemiology, diagnosis, and treatments for this rare condition.
Area of Science:
- Oncology
- Maternal-Fetal Medicine
- Reproductive Health
Background:
- Cancer occurring during pregnancy is a rare but complex clinical challenge.
- Management requires balancing established cancer treatment protocols with fetal well-being.
- Limited expertise can result in delayed diagnosis and suboptimal outcomes for both mother and fetus.
Purpose of the Study:
- To review current evidence on cancer in pregnancy.
- To provide comprehensive information on epidemiology, diagnosis, staging, and treatment.
- To discuss novel therapeutic approaches for pregnant patients with cancer.
Main Methods:
- Systematic review of existing literature.
- Analysis of epidemiological data.
- Synthesis of clinical presentation, diagnostic workup, and treatment strategies.
Main Results:
- Cancer in pregnancy necessitates a multidisciplinary approach.
- Treatment decisions must consider gestational age and fetal safety.
- Evidence on novel treatment modalities is emerging.
Conclusions:
- Prompt identification and tailored treatment are crucial for managing cancer during pregnancy.
- Integrating maternal cancer care with fetal safety considerations is paramount.
- Further research into optimal management and novel therapies is warranted.
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