Cancer Complicating Pregnancy, An Issue of Obstetrics and Gynecology Clinics (The Clinics: Internal Medicine)

Cover......Page 1
Foreword......Page 2
Preface......Page 4
Cervical Neoplasia Complicating Pregnancy......Page 6
Human papillomavirus infection in pregnancy......Page 7
Managing the abnormal Pap smear in pregnancy......Page 8
Performing colposcopy in the pregnant patient......Page 9
Management of cervical dysplasia in pregnancy......Page 11
Diagnosis and management of invasive cervix cancer......Page 12
Effects of pregnancy after cervical cancer treatment......Page 15
References......Page 16
Breast Cancer and Pregnancy......Page 20
Physiology and anatomy......Page 21
Receptors and mechanisms of tumorigenesis......Page 22
Diagnosis......Page 24
Staging......Page 25
Treatment......Page 26
Prognosis......Page 27
References......Page 28
Malignant Melanoma in Pregnancy......Page 32
Incidence rates......Page 33
Reported associations between exogenous hormone use and melanoma......Page 34
Risk of maternal melanoma during pregnancy......Page 35
Pregnancy and maternal prognosis from melanoma......Page 36
References......Page 38
Epidemiology......Page 42
Pathologic types......Page 43
Treatment......Page 44
Special considerations......Page 45
Treatment......Page 46
Presentation......Page 47
Invasive mucinous tumors......Page 48
Treatment......Page 49
Treatment......Page 51
Special considerations......Page 52
Sertoli-Leydig cell tumors......Page 53
Treatment......Page 54
Carcinosarcoma of the ovary during pregnancy......Page 55
Metastatic tumors to the ovary during pregnancy......Page 56
Treatment......Page 57
References......Page 58
Hematologic Malignancies in Pregnancy......Page 67
Hodgkin's lymphoma......Page 68
Vignette 2: non-Hodgkin's lymphoma......Page 72
Non-Hodgkin's lymphoma......Page 73
Vignette 3: leukemia......Page 76
Leukemia......Page 77
Summary......Page 82
References......Page 83
Gestation Trophoblastic Diseases: Management of Cases with Persistent Low Human Chorionic Gonadotropin Results......Page 87
False-positive human chorionic gonadotropin......Page 91
Quiescent gestational trophoblastic disease......Page 93
Pituitary human chorionic gonadotropin......Page 95
Summary......Page 96
References......Page 97
Chemotherapeutic Drugs in Pregnancy......Page 99
Fetal risks......Page 100
Counseling for pregnancy and breastfeeding......Page 101
Alkylating agents......Page 102
Antimetabolites......Page 105
Nucleoside analogues......Page 106
Topoisomerase Ii inhibitors......Page 107
Vinca alkaloids......Page 108
Taxanes......Page 109
References......Page 110
Incidence......Page 113
Presentation......Page 114
Sigmoidoscopy and colonoscopy......Page 115
Pathologic stage......Page 116
Chemotherapy......Page 117
Maternal prognosis......Page 118
Incidence......Page 119
Presentation......Page 120
Surgery......Page 121
Prognosis......Page 122
Diagnosis......Page 123
Prognosis......Page 124
Diagnosis......Page 125
Risk factors......Page 126
Prognosis......Page 127
References......Page 128
Pathology of molar subtypes......Page 133
Choriocarcinoma and placental site trophoblastic tumor......Page 136
Initial clinical management......Page 139
Staging systems for gestational trophoblastic neoplasia......Page 140
Low-risk gestational trophoblastic neoplasia......Page 143
High risk gestational trophoblastic neoplasia......Page 144
Risk factors for developing molar pregnancy and implications for future pregnancies......Page 146
Hydatidiform mole coexisting with a twin live fetus......Page 147
Summary......Page 149
References......Page 150