Therapeutic management of gynecological cancer during pregnancy

Abstract

Background: Although the association between pregnancy and cancer is rare, the delay in gestation age has increased the incident in recent decades. The treatment of gynecological cancer during pregnancy involves an important conflict both an ethical and clinical level.
Objetive: To collect the current evidence regarding the diagnosis and management of gynecological cancer during preg- nancy.

Material and methods: Bibliographic literature search through the Pubmed, MedLine, Embase, BioMed Central and SciELO databases.
Conclusions: Pregnancy has not been shown to have a negative impact on the prognosis of cervical cancer. More or less radical surgery based on suspected malignancy is the standard management of ovarian cancer in pregnancy, although the results of neoadjuvant platinum regimens are promising. Pregnancy acts as a protective factor against endometrial cancer.