文章：

妊娠期癌症的诊断与管理：肿瘤状况与母体环境双重挑战下的应对策略——文献综述

Diagnosis and Management of Cancers in Pregnancy: The Results of a Dual Battle Between Oncological Condition and Maternal Environment—Literature Review

原文发布日期：24 January 2025

DOI: 10.3390/cancers17030389

类型: Article

开放获取: 是

英文摘要：

Cancer during pregnancy presents considerable challenges that arise from various factors, including the diagnostic, prognostic and therapeutic implications of managing cancer in this unique patient population. There is a crucial need for an integrated approach that aligns medical interventions for both the pregnant patient and the developing embryo or fetus. Furthermore, the distinct characteristics associated with each stage of gestation may significantly influence the treatment protocols that can be proposed. Due to all of these factors, the importance of collaboration among healthcare professionals from different specialties (to ensure that both mother and child receive optimal care throughout the pregnancy) is often neglected. This review is designed to provide a thorough overview of the current standard procedures regarding the diagnosis and treatment options for cancer in pregnant patients in order to ensure the safety of mother and child. Furthermore, the review describes the feasibility of current fertility preservation methods, highlights the psychological effects of cancer during pregnancy and examines the risks and benefits of breastfeeding.

摘要翻译： 

妊娠期癌症带来了诸多挑战，这些挑战源于多种因素，包括在这一特殊患者群体中管理癌症的诊断、预后和治疗意义。迫切需要一种综合方法，协调对孕妇和发育中的胚胎或胎儿的医疗干预。此外，妊娠各阶段的独特特征可能显著影响可提出的治疗方案。由于所有这些因素，来自不同专业的医疗保健专业人员之间合作的重要性（以确保母亲和胎儿在整个妊娠期间获得最佳护理）常常被忽视。本综述旨在全面概述当前关于妊娠期癌症诊断和治疗方案的标准程序，以确保母婴安全。此外，本综述描述了当前生育力保存方法的可行性，强调了妊娠期癌症的心理影响，并探讨了母乳喂养的风险与益处。

原文链接：

Diagnosis and Management of Cancers in Pregnancy: The Results of a Dual Battle Between Oncological Condition and Maternal Environment—Literature Review