在怀孕期间的妇科癌症
Philippe Morice1, Catherine Uzan, Sebastien Gouy
1Department of Gynecologic Surgery, Institut Gustave Roussy, Villejuif, France. morice@igr.fr
Lancet (London, England)
|February 14, 2012
概括
在怀孕期间诊断宫和卵巢癌需要仔细考虑瘤阶段和患者因素. 管理策略根据癌症类型,阶段和三个月而异,优先考虑孕产妇和胎儿的健康.
科学领域:
- 妇科瘤学 妇科瘤学
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 在瘤学瘤学.
背景情况:
- 宫和卵巢癌是怀孕期间诊断的最常见的妇科恶性瘤.
- 管理决策是复杂的,平衡癌症治疗与继续怀孕.
研究的目的:
- 审查孕妇宫和卵巢癌的诊断和管理考虑因素.
- 概述早期和晚期疾病的方法,考虑妊娠阶段和患者的偏好.
主要方法:
- 对当前文学和临床指导方针的审查,用于怀孕期间管理妇科癌症.
- 讨论诊断工具,如MRI和腹腔镜淋巴切除术用于分期.
- 个别分析治疗选择,包括手术和新辅助化疗.
主要成果:
- 早期宫癌的治疗包括瘤大小,节点分期和三个月,可以采取保守的方法.
- 当地晚期子宫癌的治疗是有争议的,并且根据瘤特征,妊娠阶段和患者的愿望进行个性化治疗.
- 卵巢癌的治疗取决于组织学,分化,结节状况,阶段和三个月,在晚期或高风险病例中考虑新辅助化疗.
结论:
- 在怀孕期间管理宫癌和卵巢癌时,个性化,多学科的方法至关重要.
- 治疗策略必须根据特定的癌症,妊娠年龄和患者的生殖欲望量身定制.
- 在这些复杂的病例中,平衡瘤结果与胎儿福祉至关重要.
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