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Federación Mexicana de Ginecología y Obstetricia, A.C.

2018, Number 07

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Ginecol Obstet Mex 2018; 86 (07)

Cancer during pregnancy: experience in Perinatology National Institute

Castillo-Luna R, Arteaga-Gómez AC, Gorbea-Chávez V, Delgado-Amador DE

Language: Spanish
References: 27
Page: 434-442
PDF size: 236.61 Kb.


ABSTRACT

Objective: To describe the management and perinatal outcomes in patients with cancer and pregnancy.
Materials and Methods: Retrospective, longitudinal, observational and descriptive study of a simple cohort of women with a diagnosis of Cancer (corroborated by histopathological study) and pregnancy from January 2009 to December 2014. The data was analyzed with the SPSS program version 20.0 with central tendency measures, frequencies, proportions and standard deviation.
Results: We included 47 patients with an average age of 28.1 ± 7.3 years, the diagnosis of cancer was made in 46 patients on average at 19.4 ± 8.5 weeks and in a case in the late puerperium. The most frequent cancers were: 28% leukemia (n = 13), 26% breast (n = 12), 17% cervical (n = 8) and 15% ovarian (n = 7). During pregnancy 55% patients received chemotherapy (n = 27) and 28% surgical treatment (n = 13). We obtained 42 live births (91%) of which: 53% were full term (n = 25), 22% late preterm (n = 10), 9% moderate preterm (n=4) and 6% extreme preterm (n = 3). There were 2 immature births (4%), 3 miscarriages (6%) and 3 indirect maternal deaths (6%).
Conclusions: Surgery and chemotherapy during the second trimester of pregnancy are safe for the mother and the fetus.


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