妊娠相关恶性疾病的治疗原则:文献综述

N. Chichua, A. Bainazarova, M. Dmitrenko, K. Smagulova, R. Abdrakhmanov, A. Kemelzhanov
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引用次数: 0

摘要

相关性:怀孕期间的癌症并不常见,约为1/1000的孕妇。全世界越来越多的妇女计划在患恶性疾病的风险增加的30岁生育。在怀孕期间,女性更容易患上生殖期固有的癌症。这些癌症包括乳腺癌和宫颈癌。本文综述了治疗这些癌症的孕妇的原则。本研究旨在系统梳理近十年的相关文献综述,以便在不损害胎儿和妊娠的情况下,有效地选择乳腺癌和宫颈癌孕妇的诊断和治疗策略。方法:对不同作者的文献资料进行分析,分析育龄患者与妊娠相关的乳腺癌、宫颈癌等部位癌症的发生频率。在选择文献来源时,应注意疾病的病史、主诉、诊断方法的特点以及最佳治疗方法的选择。这一分析是基于过去十年来所研究的文学来源的比较数据。结果:确立了对妊娠和胎儿无威胁并推荐给妊娠患者的不同诊断方法的研究价值和充分性。考虑到患者的病情、妊娠和疾病的阶段,确定了这些癌症类型的最佳治疗方案。研究了在治疗这些癌症后保留患者生育能力的可能性。结论:生殖系统恶性肿瘤与妊娠交替发生在统计学上是罕见的。然而,医学肿瘤学家必须解决怀孕患者的诊断和治疗问题。诊断方法和治疗方式的选择必须因人而异。在适当的检查和分期完成后,多学科肿瘤委员会批准患者管理计划。从业者面临着选择最佳诊断和治疗措施的问题,这种情况需要在合并肿瘤疾病的妊娠管理方面进行进一步的调查和方法发展
本文章由计算机程序翻译,如有差异,请以英文原文为准。
PRINCIPLES OF TREATMENT OF PREGNANCY-ASSOCIATED MALIGNANT DISEASES: A LITERATURE REVIEW
Relevance: Cancer during pregnancy is uncommon and found in 1/1000 pregnant women. An increasing number of women worldwide plan childbearing at 30 years when the risk of malignant diseases increases. During pregnancy, cancers inherent with the reproductive period in women are more likely. These cancers include breast cancer and cervix cancer. This article reviews the principles of treating pregnant women with these cancers. The study aimed to systematize relevant literature reviews for the past decade to efficiently choose diagnostic and treatment tactics for pregnant women with breast cancer and cervix cancer without harming the fetus and gravid. Methods: We analyzed the literature sources from different authors on the frequency of cancer of such localizations as breast cancer and cervical cancer associated with pregnancy in patients of reproductive age. When selecting literary sources, attention was paid to the history of the disease, complaints, features of diagnostic methods, and the choice of optimal treatment methods. The analysis was based on comparative data from the studied literary sources for the past ten years. Results: The value and the adequacy of different diagnostic methods of research that have no threat to gravid and fetus and are recommended for pregnant patients were established. Considering a patient’s condition, gestation, and stage of the disease, the best treatment options for those cancer types were identified. Possibilities were studied on preserving patients’ fertility after treatment of these cancers. Conclusion: Malignant tumors of the reproductive system alternating with pregnancy are statistically rare. However, medical oncologists have to solve the problem of the diagnosis and treatment of pregnant patients. The choice of the diagnostic methods and the type of treatment must be individual. Having appropriate examinations and the staging done, Multidisciplinary Tumor Board approves the patient management plan. Practitioners face the problematic issue of choosing optimal diagnostic and treatment measures, and this situation requires further investigations and methodological developments in pregnancy management complicated with oncological diseases
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