在怀孕期间的宫癌
Charlotte LeJeune1, Nathalia Mora-Soto2, Lone Storgaard3
1Lab of Gynecological Oncology, Department of Oncology, KU Leuven, Leuven, Belgium; Department of Obstetrics and Gynecology, UZ Leuven, Leuven, Belgium.
Seminars in perinatology
|March 15, 2025
概括
在怀孕期间治疗宫癌平衡了治疗和胎儿健康. 目前的证据表明,怀孕通常可以在不恶化癌症后果的情况下保持,但需要更多的数据.
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
- 生殖健康 生殖健康
背景情况:
- 宫癌是怀孕期间的一个重大瘤挑战.
- 管理需要平衡孕产妇癌症治疗与胎儿福祉.
- 现有的数据有限,需要对当前证据和临床经验进行审查.
研究的目的:
- 综合当前关于孕妇宫癌管理的证据.
- 为了探索与瘤治疗一起保持怀孕的可行性.
- 为个性化,多学科的护理提供指导.
主要方法:
- 这项研究是一篇叙事性综述.
- 它综合了现有的文献和临床经验.
- 专注于瘤管理和孕期保存策略.
主要成果:
- 标准的瘤学协议是一般适用的.
- 新出现的数据表明,怀孕通常可以在不影响瘤结果的情况下维持.
- 从更大的队列中获得强大的预后数据仍然是必需的.
结论:
- 个性化治疗计划是必不可少的,包括患者价值观.
- 强烈建议转介到专门的三级中心.
- 多学科的专业知识对于最佳的孕产妇和胎儿的结果至关重要.
相关概念视频
Disorders of the Female Reproductive System
286
The female reproductive system can be affected by several disorders, including Premenstrual Syndrome (PMS), Premenstrual Dysphoric Disorder (PMDD), endometriosis, and various forms of cancer. PMS and PMDD are cyclical conditions that cause physical and emotional distress, with symptoms that include edema, mood swings, and food cravings. PMDD is a more severe form of PMS characterized by increased symptom severity that peaks during the luteal phase and tends to improve or resolve shortly after...
286
Ovarian Cycle
889
The menstrual cycle includes a critical component known as the ovarian cycle, which undergoes two main phases each month—the follicular phase and the luteal phase. The follicular phase is variable and averaging around 14 days. Ovulation, triggered by a surge in luteinizing hormone (LH), marks the transition between the two phases. The second phase, the luteal phase, is relatively consistent, lasting approximately 14 days, and is marked by the activity of the corpus luteum. While a cycle...
889
Teratogenicity
2.3K
The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
2.3K
Uterus and Cervix
769
The uterus, commonly called the womb, is a vital reproductive organ in females designed to provide a nurturing environment for the implantation and growth of an embryo. It is shaped like a hollow pear and positioned between the urinary bladder and the rectum. The uterus's structure allows it to support and protect a developing fetus throughout pregnancy.
The uterus is securely anchored within the pelvic cavity by paired broad ligaments on either side. It is further stabilized by three pairs...
The uterus is securely anchored within the pelvic cavity by paired broad ligaments on either side. It is further stabilized by three pairs...
769
Cancer Vaccines
319
Cancer treatment vaccines are a rapidly evolving field that offers a promising approach to immunotherapy. Unlike traditional vaccines that prevent diseases, cancer treatment vaccines are designed to treat existing cancers by stimulating the immune system to recognize and attack cancer cells.
Cancer vaccines come in two categories: preventive (prophylactic) and treatment (active). Preventive vaccines, such as the Human Papillomavirus (HPV) vaccine, protect against viruses that cause certain...
Cancer vaccines come in two categories: preventive (prophylactic) and treatment (active). Preventive vaccines, such as the Human Papillomavirus (HPV) vaccine, protect against viruses that cause certain...
319
In Vitro Fertilization
178
In vitro fertilization (IVF) is a form of assisted reproductive technology where an egg is fertilized with sperm in a controlled laboratory environment before transferring the resulting embryo into the uterus. This process is designed to help individuals and couples experiencing difficulties conceiving.
The IVF process begins with ovarian stimulation, during which reproductive endocrinologists prescribe hormonal medications to stimulate the ovaries to produce multiple eggs instead of the single...
The IVF process begins with ovarian stimulation, during which reproductive endocrinologists prescribe hormonal medications to stimulate the ovaries to produce multiple eggs instead of the single...
178


