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Harrison's Principles of Internal Medicine, 18e
| Part 1. Introduction to Clinical Medicine > |
Chapter e6. Neoplasia During Pregnancy
Sections: Neoplasia During Pregnancy: Introduction, Cervical Cancer During Pregnancy, Breast Cancer During Pregnancy, Melanoma During Pregnancy, Hodgkin's Disease and Non-Hodgkin's Lymphoma During Pregnancy, Thyroid Cancer During Pregnancy, Gestational Trophoblastic Disease, Further Readings.
Topics Discussed: pregnancy complications, neoplastic.
Excerpt:"Cancer develops during  1 in every 1000 pregnancies. Of all the cancers that occur in women, less than 1% occur in pregnant women. The four cancers most commonly developing during pregnancy are cervical cancer, breast cancer, melanoma, and lymphomas (particularly Hodgkin's lymphoma); however, virtually every form of cancer has been reported in pregnant women (Table e6-1). In addition to cancers developing in other organs of the mother, gestational trophoblastic tumors can arise from the placenta. The problem of cancer in a pregnant woman is complex. One must take into account the possible influence of the pregnancy on the natural history of the cancer, the effects of the diagnostic and staging procedures, and the treatments of the cancer on both the mother and the developing fetus. Theese issues may lead to dilemmas: what is best for the mother may be harmful to the fetus, and what is best for the fetus may be harmful to the mother...."
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