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Chapter 12 - Ovarian and Cervical Malignancy in Pregnancy

Published online by Cambridge University Press:  14 July 2023

By
Helen Bolton
Edited by
Swati Jha  and
Priya Madhuvrata
Swati Jha
Affiliation:
Sheffield Teaching Hospital NHS Foundation Trust
Priya Madhuvrata
Affiliation:
Sheffield Teaching Hospital NHS Foundation Trust
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Summary

Cancer during pregnancy is rare, affecting approximately 1 in 1 000 pregnancies. Although rare, most obstetricians will at times be responsible for women who have a history of cancer, or present with symptoms or signs of possible malignancy during pregnancy, or even encounter a new diagnosis during a current pregnancy. Pregnancy itself does not predispose to cancer, but there may be delays in diagnosis due to symptoms being falsely attributed to physiological symptoms related to pregnancy.

Keywords

cervical cancerovarian cancerchemotherapyradiotherapy
Type
Chapter
Information
Gynaecology for the Obstetrician , pp. 123 - 133
Publisher: Cambridge University Press
Print publication year: 2023

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References

Morice, P., Uzan, C., Gouy, S., Verschraegen, C. and Haie-Meder, C.. Gynaecological cancers in pregnancy. Lancet, 379 (2012), 558–69.Google Scholar
Amant, F., Berveiller, P., Boere, I. A., et al. Gynecologic cancers in pregnancy: Guidelines based on a third international consensus meeting. Annals of Oncology, 30 (2019), 1601–12.Google Scholar
NHS England Guidance. Cervical Screening: Programme and Colposcopy Management. (Public Health England, 2021). www.gov.uk/government/publications/cervical-screening-programme-and-colposcopy-managementGoogle Scholar
Massad, L. S., Einstein, M. H., Huh, W. K., et al. 2012 updated consensus guidelines for the management of abnormal cervical cancer screening tests and cancer precursors. Obstetrics & Gynecology, 121 (2013), 829–46.Google Scholar
Reed, N., Balega, J., Barwick, T., et al. British Gynaecological Cancer Society (BGCS) cervical cancer guidelines: Recommendations for practice. European Journal of Obstetrics & Gynecology and Reproductive Biology, 256 (2021), 433–65.CrossRefGoogle ScholarPubMed
Kyrgiou, M., Athanasiou, A., Kalliala, I. E. J., et al. Obstetric outcomes after conservative treatment for cervical intraepithelial lesions and early invasive disease. Cochrane Database of Systematic Reviews, 11 (2017), CD012847.Google ScholarPubMed
Bentivegna, E., Maulard, A., Pautier, P., et al. Fertility results and pregnancy outcomes after conservative treatment of cervical cancer: A systematic review of the literature. Fertility and Sterility, 106 (2016), 1195–1211.Google Scholar
Simjak, P., Cibula, D., Pařízek, A. and Sláma, J.. Management of pregnancy after fertility-sparing surgery for cervical cancer. Acta Obstetrics at Gynecologica Scandinavica, 99 (2020), 830–8.Google Scholar
Kasuga, Y., Ikenoue, S., Tanaka, M. and Ochiai, D.. Management of pregnancy after radical trachelectomy. Gynecologic Oncology, 162 (2021), 220–5.Google Scholar
Bhatla, N., Aoki, D., Sharma, D. N., Sankaranarayanan, R.. Cancer of the cervix uteri. International Journal of Gynaecology and Obstetrics, 143 (2018), 22–36.Google Scholar
Ilancheran, A.. Neoadjuvant chemotherapy in cervical cancer in pregnancy. Best Practice and Research Clinical Obstetrics and Gynaecology, 33 (2016), 102–7.Google Scholar
Zagouri, F., Sergentanis, T. N., Chrysikos, D. and Bartsch, R.. Platinum derivatives during pregnancy in cervical cancer: A systematic review and meta-analysis. Obstetrics & Gynecology, 121 (2013), 337–43.Google Scholar
Leiserowitz, G. S., Xing, G., Cress, R., et al. Adnexal masses in pregnancy: How often are they malignant? Gynecologic Oncology, 101 (2006), 315–21.Google Scholar

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