Pregnancy and gynaecologic cancers

Abstract

Gynaecologic tumors are among the important health issues those can arise in different terms of the female reproductive era. Ovarian, cervix, vulva, vagina and especially the endometrium cancers are the tumors of female genital tumors. In recent years these tumors which acquire multidisciplinary management, have increased by incidence because of the advanced methods of the diagnosis and the screening. There have been also an important upward trend of the incidence of the gynaecologic tumors seen in pregnancy period in recent years. The main principles of the treatment those consist of surgery, chemotherapy and radiotherapy can be applied to the pregnant population by taking into consideration of some differences. There is no harm effect of the pregnancy itself on the prognosis of gynaecologic cancers but also the delay of the treatment because of expectancy of the viability of fetus, the false timing of the treatment and as a result of the delay time of the diagnosis usually causes to reserve the treatment for the postpartum period. This situation affects both the maternal survival times and the neonatal outcomes negatively. We tried to enlighten the right and proper modalities of the treatment of gynaecologic tumors seen in pregnancy, in this review.