Cancer and Pregnancy (Recent Results in Cancer Research, 178)

Te European School of Oncology is delighted to ber of female former cancer patients expected to see that the faculty of its course on cancer and have a successful pregnancy. pregnancy has succeeded--and in a remarkably Another group of individuals that deserves short time--in producing this greatly stimulat - our attention are women who have survived a ing book. childhood cancer and who should be managed Very few human and clinical situations en - by a multidisciplinary specialist team. Fort- compass such opposite extremes as pregnancy nately, many studies are underway and we hope and cancer, hope and fear, sometimes life and to soon have new insights into this extraord- death. narily complex issue. Any health professional who has been con- Te European School of Oncology is grateful fronted with this issue knows how difcult it is to Dr. A. Surbone for her successful coordin -a from the clinical viewpoint but also how chal- tion of our teaching course and for having taken lenging it is on the emotional side. the initiative to publish this book. We hope that In recent years the success of cancer medicine it will contribute to helping many children have has increased the number of survivors and the their mother cured of her cancer and be able to length of their survival, thus increasing the num- love them forever Front Matter....Pages I-XI Why Is the Topic of Cancer and Pregnancy So Important? Why and How to Read this Book....Pages 1-2 Prenatal Irradiation and Pregnancy: The Effects of Diagnostic Imaging and Radiation Therapy....Pages 3-20 Maternal and Fetal Effects of Systemic Therapy in the Pregnant Woman with Cancer....Pages 21-38 Breast Cancer During Pregnancy: Epidemiology, Surgical Treatment, and Staging....Pages 39-44 Breast Cancer During Pregnancy: Medical Therapy and Prognosis....Pages 45-55 Subsequent Pregnancy After Breast Cancer....Pages 57-67 Cervical and Endometrial Cancer During Pregnancy....Pages 69-74 Ovarian Cancers in Pregnancy....Pages 75-78 Fertility After the Treatment of Gynecologic Tumors....Pages 79-95 Leukaemia and Pregnancy....Pages 97-110 Hodgkin and Non-Hodgkin Lymphomas During Pregnancy....Pages 111-121 Pregnancy and Thyroid Cancer....Pages 123-135 Gastrointestinal, Urologic and Lung Malignancies During Pregnancy....Pages 137-164 Melanoma During Pregnancy: Epidemiology, Diagnosis, Staging, Clinical Picture....Pages 165-174 Melanoma During Pregnancy: Therapeutic Management and Outcome....Pages 175-181 Metastatic Involvement of Placenta and Foetus in Pregnant Women with Cancer....Pages 183-194 The Obstetric Care of the Pregnant Woman with Cancer....Pages 195-201 Fertility Issues and Options in Young Women with Cancer....Pages 203-224 Psychooncologic Care in Young Women Facing Cancer and Pregnancy....Pages 225-236 Counseling Young Cancer Patients About Reproductive Issues....Pages 237-245 Psychosocial Issues in Young Women Facing Cancer and Pregnancy: The Role of Patient Advocacy....Pages 247-252

the Concomitance Of Cancer And Pregnancy Is A Biological Paradox And One Of The Greatest Challenges In The Lives Of Young Patients, Their Partners, And Their Families. It Is Also A Challenge To Oncologists, Because The Management Of The Pregnant Cancer Patient Involves Both Mother And Fetus. Ideally, Oncologists, Reproductive Endocrinologists, Obstetricians And Neonatologists, Nurses, And Psychologists Work Within A Dedicated Multidisciplinary Team To Deliver Optimal Cancer Therapy To The Mother, While Assuring Fetal Well-being.

this Book, Written By Oncology Experts With Knowledge And Clinical Expertise On Diagnosis, Treatment, And Follow-up Of Women With Different Types Of Cancer During Pregnancy, Provides A Comprehensive Review Of Existing Data On Cancer During Pregnancy And A General Overview Of Its Psychological, Ethical, And Social Aspects. Chapters Address The Diagnosis, Treatment, And Follow-up Of Young Women With Specific Solid Or Hematologic Cancers During Pregnancy. The Safety Of Subsequent Pregnancy After Cancer Treatments And The Alternatives To Maintain Or Enhance Fertility In Women Undergoing Cancer Therapy Are Also Addressed. While Not Intended As A Practical Guideline, The Book Contains Clinical Suggestions, Bibliography, And References To Available Online Sources About Referral Centers, Ongoing Clinical Trials, And Tumor Registries To Help Oncologists In The Clinic.

This book is written by experts with clinical expertise on diagnosis, treatment, and follow-up of women with cancer during pregnancy. It 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.