Zusammenfassung
Schwangerschaft, als Leben spendende Phase unseres Daseins, und lebensbedrohende Malignome
sind schon aus nahe liegenden psychologischen Gründen nur schwer miteinander in Zusammenhang
zu bringen. Symptome, die auf ein Malignom hindeuten, werden nicht selten von Patientin
und Arzt ignoriert, woraus die nachweisliche Verzögerung in der Diagnostik von Malignomen
während der Schwangerschaft resultiert [6]
[29]
[31]
[50]. Die Diagnostik und Therapie von gynäkologischen Malignomen gewinnt allerdings aus
vier Gründen zunehmend an Bedeutung: eine Reihe von Entitäten erreichen ihren Häufigkeitsgipfel
während der reproduktiven Lebensphase der Frau, die späte Realisierung des Kinderwunschs
rückt die Schwangerschaft zunehmend häufig in ein Lebensalter mit höherem Karzinomrisiko,
die intensivierte Betreuung von Schwangeren führt zur regelmäßigen Diagnosestellung
von Malignomen während der Schwangerschaft, und höhere Heilungsraten von soliden Tumoren
schließen eine folgende Schwangerschaft nicht mehr grundsätzlich aus. Aus diesen Gründen
werden Besonderheiten bei der Behandlung von Ovarial- und Zervixkarzinom, und selten
auch von Vulva- und Endometriumkarzinom, wiederholt Eingang in die klinische Routine
finden. Dieser Übersichtsartikel soll in knapper Form in die besonderen Aspekte der
Behandlung dieser Malignome einführen.
Abstract
Pregnancy, leading to new life, on one hand, and life threatening malignancies an
the other hand, are per se diametrical subjects. Symptoms of malignancies are ignored
more frequently during pregnancy by patients and physicians, often resulting in delayed
diagnosis [6]
[29]
[31]
[50]. Diagnosis and treatment of gynaecological malignancies, however, are increasingly
important for four reasons: the peak incidence of several malignancies occurs during
the reproductive age; late pregnancies present more often in an age group with increased
risk for cancer, intensified care for pregnant women leads to more thorough diagnosis,
and, curative treatment of malignancies gives women the potential chance for becoming
pregnant. For these reasons, special features of the diagnosis and treatment of gynaecological
malignancies will regularly part of routine patient care. This review article covers
certain practice related features of gynaecological malignancies.
Schlüsselwörter
Schwangerschaftsassoziierte Malignome - Zervixkarzinom - Ovarialkarzinom - Endometriumkarzinom
- Vulvakarzinom
Key words
ovarian cancer - cervical cancer - endometrial cancer - vulvar cancer - pregnancy
- overall survival - neoplasm metastasis - neoplasm recurrence - prognosis
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