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Description
  • Objectives This study aimed to provide timely and effective guidance for pregnant women and health care providers to optimize maternal treatment and fetal protection and to promote effective management of the mother, fetus, and neonate when administering potentially teratogenic medications. New insights and more experience were gained since the first consensus meeting 5 years ago. Methods Members of the European Society of Gynecological Oncology task force Cancer in Pregnancy in concert with other international experts reviewed the existing literature on their respective areas of expertise. The summaries were subsequently merged into a complete article that served as a basis for discussion during the consensus meeting. All participants approved the final article. Results In the experts' view, cancer can be successfully treated during pregnancy in collaboration with a multidisciplinary team, optimizing maternal treatment while considering fetal safety. To maximize the maternal outcome, cancer treatment should follow a standard treatment protocol as for nonpregnant patients. Iatrogenic prematurity should be avoided. Individualization of treatment and effective psychologic support is imperative to provide throughout the pregnancy period. Diagnostic procedures, including staging examinations and imaging, such as magnetic resonance imaging and sonography, are preferable. Pelvic surgery, either open or laparoscopic, as part of a treatment protocol, may reveal beneficial outcomes and is preferably performed by experts. Most standard regimens of chemotherapy can be administered from 14 weeks gestational age onward. Apart from cervical and vulvar cancer, as well as important vulvar scarring, the mode of delivery is determined by the obstetrician.
  • Objectives This study aimed to provide timely and effective guidance for pregnant women and health care providers to optimize maternal treatment and fetal protection and to promote effective management of the mother, fetus, and neonate when administering potentially teratogenic medications. New insights and more experience were gained since the first consensus meeting 5 years ago. Methods Members of the European Society of Gynecological Oncology task force Cancer in Pregnancy in concert with other international experts reviewed the existing literature on their respective areas of expertise. The summaries were subsequently merged into a complete article that served as a basis for discussion during the consensus meeting. All participants approved the final article. Results In the experts' view, cancer can be successfully treated during pregnancy in collaboration with a multidisciplinary team, optimizing maternal treatment while considering fetal safety. To maximize the maternal outcome, cancer treatment should follow a standard treatment protocol as for nonpregnant patients. Iatrogenic prematurity should be avoided. Individualization of treatment and effective psychologic support is imperative to provide throughout the pregnancy period. Diagnostic procedures, including staging examinations and imaging, such as magnetic resonance imaging and sonography, are preferable. Pelvic surgery, either open or laparoscopic, as part of a treatment protocol, may reveal beneficial outcomes and is preferably performed by experts. Most standard regimens of chemotherapy can be administered from 14 weeks gestational age onward. Apart from cervical and vulvar cancer, as well as important vulvar scarring, the mode of delivery is determined by the obstetrician. (en)
Title
  • Gynecologic Cancers in Pregnancy Guidelines of a Second International Consensus Meeting
  • Gynecologic Cancers in Pregnancy Guidelines of a Second International Consensus Meeting (en)
skos:prefLabel
  • Gynecologic Cancers in Pregnancy Guidelines of a Second International Consensus Meeting
  • Gynecologic Cancers in Pregnancy Guidelines of a Second International Consensus Meeting (en)
skos:notation
  • RIV/00216208:11130/14:10292775!RIV15-MSM-11130___
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • I
http://linked.open...iv/cisloPeriodika
  • 3
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
http://linked.open.../riv/druhVysledku
http://linked.open...iv/duvernostUdaju
http://linked.open...titaPredkladatele
http://linked.open...dnocenehoVysledku
  • 18691
http://linked.open...ai/riv/idVysledku
  • RIV/00216208:11130/14:10292775
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • Gynecologic; Consensus; Chemotherapy; Pregnancy; Cancer (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • US - Spojené státy americké
http://linked.open...ontrolniKodProRIV
  • [66113EAA569A]
http://linked.open...i/riv/nazevZdroje
  • International Journal of Gynecological Cancer
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 24
http://linked.open...iv/tvurceVysledku
  • Halaška, Michael
  • Kesic, Vesna
  • Amant, Frederic
  • Mir, Olivier
  • Van Calsteren, Kristel
  • Vergote, Ignace
  • Fruscio, Robert
  • Berveiller, Paul
  • Dekrem, Jana
  • Fumagalli, Monica
  • Han, Sileny N.
  • Lishner, Michael
  • Lok, Christianne
  • Maxwell, Cynthia
  • Mhallem Gziri, Mina
  • Morice, Philippe
  • Nulman, Irena
  • Ottevanger, Petronella B.
  • Steffensen, Karina Dahl
  • Strauven, Goedele
  • Uzan, Catherine
  • van den Heuvel, Frank
http://linked.open...ain/vavai/riv/wos
  • 000332519000005
issn
  • 1048-891X
number of pages
http://bibframe.org/vocab/doi
  • 10.1097/IGC.0000000000000062
http://localhost/t...ganizacniJednotka
  • 11130
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