Cancer and Pregnancy

The concomitance of cancer and pregnancy is a biological paradox and a great challenge to patients and their partners and families. It is also a challenge to oncologists, because management of the pregnant cancer patient involves both mother and fetus. Ideally, oncologists work with a multidisciplinary team to deliver optimal cancer therapy to the mother, while assuring fetal well-being. This book, written by experts with knowledge and clinical expertise on diagnosis, treatment, and follow-up of women with cancer during pregnancy, provides a comprehensive review of data and an overview of psychological, ethical, and social aspects. Chapters address the diagnosis, treatment, and follow-up of women with solid or hematologic cancers. The safety of subsequent pregnancy and the maintenance or enhancement of fertility in women undergoing cancer therapy are also addressed. The book contains clinical suggestions, bibliography, and references on referral centers, ongoing clinical trials, and tumor registries. TOC:Prenatal irradiation and pregnancy. Maternal and fetal effects of systemic therapy in the pregnant woman with cancer. Breast cancer during pregnancy. Subsequent pregnancy after breast cancer. Cervical and endometrial cancer during pregnancy. Ovarian cancers in pregnancy. Fertility after the treatment of gynecological tumors. Leukaemia and pregnancy. Hodgkin's and non-Hodgkin's lymphomas during pregnancy. Pregnancy and thyroid cancer. Gastrointestinal, urologic and lung malignancies during pregnancy. Melanoma during pregnancy. Metastatic involvement of placenta and foetus in pregnant women with cancer. The obstetric care of the pregnant woman with cancer. Fertility issues and options in young women with cancer. Psychooncologic care in young women facing cancer and pregnancy. Counselling young cancer patients about reproductive issues. Psychosocial issues in young women facing cancer and pregnancy.