Malignant tumors associated with pregnancy

Abstract

Introduction. Cancer during pregnancy is uncommon. But when it does occur, it can be a complication for the mother and the health care team. Pregnancy itself does not appear to affect how well the cancer treatment works. But if a woman's diagnosis or treatment is delayed due to pregnancy, the cancer may have a larger effect, and this may lead to more risks associated with the cancer. The diagnostic and therapeutic management of the pregnant patient with carcinoma is very doubtful since it involves two persons, the mother and the fetus. Obstetricians and oncologists should offer maternal treatment and fetal well-being at the same time. Aim of the study. Studying malignant tumors associated with pregnancy. Materials and methods. The study constituted the retrospective analysis of the primary documentation (clinical observation card, ambulatory card) of 14 patients with malignancies associated with cancer within the IMSPIO and the Mother and Child Center during the years 2015-2018 in the Republic of Moldova. Results. In 2015 we found 3 patients with cancer associated with pregnancy, of which, 2 patients were diagnosed with pregnancy associated with breast cancer (14.3%), 1 pregnant patient with cervical cancer (7.1%), and patients with ovarian cancer and pregnancy were not detected. In 2016, 4 patients (28.6%) were detected, of which, 2 patients with breast cancer associated with pregnancy (14.3%), 1 pregnant patient associated with cervical cancer (7.15%), 1 pregnant patient associated with ovarian cancer (7.15%). In 2017, 3 patients (21.4%) were detected, of which, 1 pregnant patient with breast cancer (7.1%), 1 pregnant patient associated with cervical cancer (7.1%) and 1 pregnant patient associated with ovarian cancer (7.1%). And in 2018, 4 patients (28.6%) were detected in total, of which, 2 pregnant patients with breast cancer (14.3%) and 2 pregnant patients with cervical cancer (14.3%). Conclusions. Summarizing the years 2015-2018 were detected 14 cases of patients with malignancies associated with pregnancy, of them the most commonly associated are; breast cancer, cervical and ovarian cancer, so 7 patients in total were obtained with breast cancer and pregnancy. 5 patients with cervical cancer and pregnancy. 2 patients with ovarian cancer and pregnancy. Thus we can conclude the importance of studying cancer associated with pregnancy, studying the first signs of impairment, diagnosis and correct treatment during pregnancy and preventing these diseases during woman course with pregnancy, assuming the safety of her and her fetus.