سرطان در طول حاملگي: مروري بر 10 سال تجربه

Cancer during pregnancy: Review of to-year experiences

AIMS. Cancer diagnosed during pregnancy is a rare condition with poor prognosis. It is a dramatic event with profound impact on patientsʹ, familiesʹ and physiciansʹ lives. This study is to describe the clinical characteristics of pregnant women with cancer in hemathology department of Urmia Imam Khcmeini hospital. . METHODS. The clinical records of 12 patients, who presented to reference center in Urmia in the west of Iran over) 0 years from 1998 to 2008 were reviewed collecting demographics, pregnancy characteristics and outcomes, type of cancer, clinical stage. treatment and oncological outcome. RESULTS. In patients. I uterine cervix, 6 ovary. I Hodgkin lymphoma, 1 endometrium, I liposarcoma, I neuroblastoma and I lung tumors were observed. One of pregnant woman had synchronous ovary and endometrium cancer. Mean gestational age at diagnosis of cancer was of25.5 weeks, resulting in 8 deliveries with healthy products. 2 abortions and 2 intrauterine deaths. The majority of patients had advanced clinical stages. Overall survival was 25% after 48 months. CONCLUSION. Cancer during pregnancy appears to have a worse outcome when compared to the results reported in the literature of non-pregnant women with the same conditions. Cancer during pregnancy requires specialized attention to improve both fetal and maternal outcomes.