Abstract

Cancer in female reproductive system in Pregnancy

Author(s): Li Watanbe

One in a thousand pregnancies is complicated by cancer. There should be a multidisciplinary consensus meeting with representatives from maternal-fetal medicine, pathology, neonatology, radiology, anesthesiology, and social work. Cervical cancer screening during pregnancy is possible, and purposeful treatment delays are allowed for early-stage carcinoma. When there are gross lesions present, vaginal delivery is not advised; instead, radical hysterectomy with lymphadenectomy during caesarean delivery is advised. Women with locally advanced disease should start receiving systemic therapy and chemotherapy as soon as they are diagnosed, respectively. In some circumstances, neoadjuvant chemotherapy to allow for gestational advancement may be explored. The majority of benign adnexal lumps disappear within the second trimester. Conservative management is appropriate for persistent, asymptomatic, benign-appearing masses; surgery, if necessary, is best postponed for 15-20 weeks, with laparoscopy.