López EJ

Language: Spanish
References: 12
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PDF size: 154.65 Kb.

ABSTRACT

The diagnosis of pregnancy-related cancer is becoming increasingly common. Although its prevalence is still relatively low, the seriousness of its consequences, such as maternal death, abortion, and infant comorbidities, makes it a topic of utmost relevance. Pregnancy-related cancer is surrounded by myths and misinformation; however, with the resources and tools available today, it is possible to diagnose and treat it effectively, balancing the risks and benefits of radiation imaging studies, surgery, radiotherapy, and chemotherapy.
Pregnancy-related cancer is not a death sentence, but its management requires a multidisciplinary approach involving specialists in oncology, obstetrics, pediatrics, radiology, and psychology. This article presents the most common types of cancer diagnosed during pregnancy and explores the psychological implications associated with this situation. Additionally, it examines the updated best practices in the diagnosis, treatment, and comprehensive management of this complex condition.

REFERENCES

1. McCormick, A., & Peterson, E. (2018). Cancer in Pregnancy. Obstetrics and Gynecology Clinics of North America, 45(2), 187-200. https://doi.org/10.1016/j.ogc.2018.01.009

2. Mellemkjær L, Eibye S, Albieri V, Kjær SK, Boice JD Jr. Pregnancy-associated cancer, and the risk of second primary cancer. Cancer Causes Control. 2022 Jan;33(1):63-71. doi: 10.1007/s10552-021-01500-7. Epub 2021 Oct 13. PMID: 34643832

3. Javitt, M.C. (2023). Cancer in pregnancy: overview and epidemiology. Abdom Radiol 48, 1559–1563 https://doi.org/10.1007/s00261-022-03633-y

4. Allen, K. (2020). Cancer in pregnancy. Obstetrics, Gynaecology & Reproductive Medicine, 30(10), 303-308. https://doi.org/10.1016/j.ogrm.2020.07.002

5. De Haan, J., Verheecke, M., Van Calsteren, K., Van Calster, B., Shmakov, R. G., Mhallem Gziri, M., Halaska, M. J., Fruscio, R., Lok, C. A. R., Boere, I. A., Zola, P., Ottevanger, P. B., de Groot, C. J. M., Peccatori, F. A., Dahl Steffensen, K., Cardonick, E. H., Polushkina, E., Rob, L., Ceppi, L., … Amant, F. (2018). Oncological management and obstetric and neonatal outcomes for women diagnosed with cancer during pregnancy: a 20-year international cohort study of 1170 patients. The Lancet Oncology, 19(3), 337-346. https://doi.org/10.1016/s1470-2045(18)30059-7

6. Hepner, A., Negrini, D., Hase, E. A., Exman, P., Testa, L., Trinconi, A. F., Filassi, J. R., Francisco, R. P. V., Zugaib, M., O’Connor, T. L., & Martin, M. G. (2019). Cancer During Pregnancy: The Oncologist Overview. World Journal of Oncology, 10(1), 28-34. https://doi.org/10.14740/wjon1177

7. Botha, M. H., Rajaram, S., & Karunaratne, K. (2018). Cancer in pregnancy. International Journal of Gynecology & Obstetrics, 143, 137-142. https://doi.org/10.1002/ijgo.12621

8. Zagouri, F., Dimitrakakis, C., Marinopoulos, S., Tsigginou, A., & Dimopoulos, M.-A. (2016). Cancer in pregnancy: disentangling treatment modalities:Table 1. ESMO Open, 1(3), e000016. https://doi.org/10.1136/esmoopen-2015-000016

9. Esposito, S., Tenconi, R., Preti, V., Groppali, E., & Principi, N. (2016). Chemotherapy against cancer during pregnancy. Medicine, 95(38), e4899. https://doi.org/10.1097/md.0000000000004899

10. Guo, Y., Zhang, D., Li, Y., & Wang, Y. (2020). A case of successful maintained pregnancy after neoadjuvant chemotherapy plus radical surgery for stage IB3 cervical cancer diagnosed at 13 weeks. BMC Pregnancy and Childbirth, 20(1), 1-4. https://doi.org/10.1186/s12884-020-02895-y

11. Lu, D., Ludvigsson, J. F., Smedby, K. E., Fall, K., Valdimarsdóttir, U., Cnattingius, S., & Fang, F. (2017). Maternal Cancer During Pregnancy and Risks of Stillbirth and Infant Mortality. Journal of Clinical Oncology, 35(14), 1522-1529. https://doi.org/10.1200/jco.2016.69.9439

12. Amant, F., Vandenbroucke, T., Verheecke, M., Fumagalli, M., Halaska, M. J., Boere, I., Han, S., Gziri, M. M., Peccatori, F., Rob, L., Lok, C., Witteveen, P., Voigt, J.-U., Naulaers, G., Vallaeys, L., Van den Heuvel, F., Lagae, L., Mertens, L., Claes, L., & Van Calsteren, K. (2015). Pediatric Outcome after Maternal Cancer Diagnosed during Pregnancy. New England Journal of Medicine, 373(19), 1824-1834. https://doi.org/10.1056/nejmoa1508913