|
Williams Obstetrics, 23e
| Section VII. Obstetrical Complications > |
Chapter 57. Neoplastic Diseases
Sections: Neoplastic Diseases: Introduction, Principles of Cancer Therapy during Pregnancy, Breast Carcinoma, Lymphoid Cell Malignancies, Malignant Melanoma, Reproductive Tract Neoplasia, Gastrointestinal Tract Cancer, Renal Neoplasms, Other Tumors, References.
Topics Discussed: pregnancy complications, neoplastic.
Excerpt:"Cancer during pregnancy is uncommon but not rare. Reported rates for most cancers vary widely, reflecting not only differences in populations, but also differing methods of ascertainment and inconsistency of reporting. In a review of more than 4.8 million deliveries in California during a 9-year period, Smith and colleagues (2003) found the incidence of malignant neoplasms during pregnancy or in the subsequent 12 months to be 0.94 per 1000 live births. About a third were diagnosed in the prenatal period and the others within 12 months of delivery. Shown in Table 57-1 are some of the more common cancers associated with pregnancy. Breast, thyroid, and cervical cancers; lymphoma; and melanoma account for at least 85 percent of these malignancies. Although management of the pregnant woman with cancer is problematic, a basic tenet should be followed: she should not be penalized because she is pregnant. That said, treatment must be individualized and include consideration of the type and stage of cancer, her desire to continue the pregnancy, and risks of modifying or delaying treatment...."
The content above is only an excerpt.
For full access, log into an existing user account below,
purchase an annual subscription, or
purchase a short-term subscription to the complete website.
|
|
|
|
Or
|
|
|
|