Journal of International Obstetrics and Gynecology ›› 2020, Vol. 47 ›› Issue (6): 605-610.

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Advances in the Treatment of Gynecological Malignancies during Pregnancy

TIAN Lei, XIN Yu-qi, HUANG Meng-wei, WANG Xiao-hui   

  1. The First Clinical Medical College of Lanzhou University, Department of Obstetrics and Gynecology, The First Hospital of Lanzhou University, Gansu Province Key Laboratory of Gynecological Oncology, Lanzhou 730000 , China
  • Received:2020-05-21 Revised:2020-07-28 Published:2020-12-15 Online:2020-12-11
  • Contact: WANG Xiao-hui, E-mail:xiaohuiwang2015@163.com E-mail:xiaohuiwang2015@163.com

Abstract:  Cervical cancer, endometrial cancer and ovarian cancer are three common malignant tumors in gynecology. At present, the age of onset tends to be younger. Although gynecological malignancies are not common in pregnancy, epidemiological studies have been confirmed that the incidence rate of these diseases has been increasing in recent years. Cervical and ovarian cancers are the most common gynecological cancers in pregnancy, and endometrial cancer is rare in pregnancy. Due to the complexity of clinical management of gynecological malignancies during pregnancy, its treatment methods have been paid more attention. It is necessary to comprehensively consider the tumor stage, differentiation degree, histological type, gestational week, wishes of patients and possible fetal outcomes, comprehensively evaluate the condition of the disease and formulate individualized treatment plan. Conservative treatment, surgical treatment or chemotherapy can reduce the influence of malignant tumor on fetus and maintain pregnancy and maternal reproductive function on the basis of maternal health. In this paper, different treatment methods of gynecological malignant tumor in pregnancy were summarized in order to achieve better maternal and infant outcomes and provide reference for clinical experience.

Key words: Uterine cervical neoplasms; , Ovarian neoplasms;, Endometrial neoplasms;, Pregnancy;, Pregnancy outcomes;, Therapy