Description
Book SynopsisCancer during pregnancy is a rare event, occurring approximately once per 1,000 pregnancies annually, corresponding to 0.07% to 0.1% of all malignant tumours. The incidence of cancer in pregnancy is increasing maybe due to trends in delayed childbearing. The most common malignancies associated with pregnancy are, in order of decreasing frequency, melanoma and breast cancer, cervical cancer, lymphomas and leukaemias. Melanoma, hematopoietic malignancies and lung cancer are the only cancers that have been reported to metastasize to the placenta and foetus, while melanoma accounts for almost one third of all cases. Imaging during pregnancy should consider risks to the foetus. Treatment of cancer can often be safely administered with good maternal and foetal outcomes. Chemotherapy, radiotherapy, and surgery must be adapted to the pregnancy state. Psychological support is needed at all levels of care. In addition, the diagnosis of cancer during reproductive age is increased, so procedures for counselling women with newly diagnosed cancer for fertility preservation are necessary. Due to high survival rates and high quality of life after cancer, women should be given the opportunity to plan motherhood after cancer actively. This work will provide an updated review of the diagnosis, staging and treatment options for cancer during pregnancy and the tools for a complete oncofertility counselling.
Table of ContentsPreface; Oncofertility; Fertility Sparing Procedures; Taking Care of Women with Cancer During Pregnancy; Psychological Aspects in Women with Cancer and Pregnancy; Imaging Procedures in Pregnancy for Pre-Invasive and Invasive Lesions in Gynecological Cancers; Diagnostic Methods for Neoplastic and Pre-Invasive Lesions of Non-Gynaecological Neoplasms in Pregnancy; Monitoring Pregnancy (In Patients with History of Cancer and Diagnosis of Cancer); Lactation in Cancer; Breast Cancer and Pregnancy; Anticancer Therapies During Pregnancy: Focus on Breast Cancer; Supportive Care in Pregnancy; Radiation Therapy and Pregnancy; Index.
