Hepatic cancer and pregnancy


Stamatian Secretar {tiin]ific Comitet {tiin]ific Interna]ional Conf. Ona Prof.

hepatic cancer and pregnancy

Suciu Prof. Bulent Tiras Turcia Prof. Zervoudis Grecia Secretari de redac]ie Prof. Valentin Friptu Rep. Moldova Prof. Vl d reanu Prof. Feride Sahin Turcia Prof. Nanu Prof. Bu]ureanu Conf. Cernea Prof. Onofriescu Conf. Anca Stãnescu Reproducere asistat Oncologie ginecologic Prof. Marinescu Prof.

Colorectal cancer during pregnancy

Peltecu Prof. Szabo Planificare familial Endocrinologie ginecologic Prof. Cr iu] Conf. Hepatic cancer and pregnancy Russu Conf. Neagu Conf. Anca Patologie obstetrical Prof.

Anastasiu Imagistic Prof. Dumitrache Prof. Hepatic cancer and pregnancy Chirurgie endoscopic Conf. Craina Neonatologie Prof. Silvia Stoicescu Conf. Chitulea Prof. Goidescu, D. Eniu, F. Stamatian Oral pathology and its consequences on the maternal-fetal outcome in pregancy a review of the literature Adriana Objelea, Georgiana Nemeti, F.

StamatianGabriela Caracostea Original article Chlamydia infection a linkage to preeclampsia development B. Vinereanu, Monica Mihaela Cîrstoiu Successful pregnancy outcome after laparoscopic myomectomy for a large myoma in a patient with previous uterine artery embolization and C-section L. Pirtea, Cristina Secoşan, D.

Varianta electronica pentru tiparire prin e-mail: revistaog yahoo. Toate lucrarile trebuie trimise într-un format concordant la cerin]ele grupului de editori constituit la Vancouvercare pot fi accesate pe internet la adresa: www.

Cancerul colorectal în sarcină

Articolele vor fi redactate în limba engleza sau în alte limbi de circula]ie interna]ionalã francezã. Structura: pg. Nu se vor trece mai mult de 6 autori. Referatele generale nu vor avea mai mult de 8 pagini, articolele originale 5 pagini, iar prezent rile de caz 3 pagini. Autorii sunt responsabili de ceea ce au publicat sub semn tura lor. Tabelele vor fi numerotate cu cifre latine, iar graficele, schemele, fotografiile cu cifre arabe.

- Мне нужно закончить разговор.  - Он повернулся и направился к своему кабинету. Сьюзан открыла рот, но слова застряли у нее в горле.

Abonamente anuale Membrii Societ ]ii de Obstetric -Ginecologie Semn hepatic cancer and pregnancy Gynecologic cancers are the most common malignancies diagnosed during pregnancy, and by their location and the impact of their treatment on fertility are becoming a very important issue. The treatment of cancer during pregnancy is a therapeutic challenge because of the necessity of a multidisciplinary team and the lack of information or conflicting data regarding the impact of treatment on embryo- hepatic cancer and pregnancy development.

Rezumat: Consideraţii generale despre cancerele ginecologice în sarcină Diagnosticul de cancer în sarcină în ultimii ani a cunoscut o creştere continuă, acest lucru datorându-se şi amânării primei sarcini din considerente sociale şi profesionale.

Cancerele ginecologice sunt cele mai frecvente afecţiuni maligne diagnosticate în sarcină, iar prin localizarea acestora şi impactul tratamentului asupra fertilităţii devin o problemă foarte importantă.

Dacă în trecut în momentul diagnosticării unei forme de cancer în sarcină recomandarea era de avort terapeutic şi începerea tratamentului oncologic, în prezent parazitii intestinali la catei o tendinţă tot mai mare de a ţine cont de dorinţa pacientei şi păstrarea a sarcinii dacă este posibil. Tratamenul cancerului în sarcină este o hepatic cancer and pregnancy terapeutică, datorită necesităţii unei echipe multidisciplinare şi a lipsei de informaţii sau a datelor contradictorii privind impactul tratamentului asupra dezvoltării embrio-fetale.

Eniu, e-mail: tudor. Am J Obstet Gynecol Gynecologic cancers are the the pregnancy is an aggravating prognostic factor, most common malignancies diagnosed in pregnancy, according to some studies[13]. Most women diagnosed with cancer in General aspects of the imaging pregnancy, will experience a high amount of emotional diagnosis of gynecologic cancers in pregnancy distress, which can lead to long-term psychological sequelae. This stress is due to the fear of death and 1. For an optimal therapeutic conduct it is 2.

hepatic cancer and pregnancy

MRI can also be used throughout the always a need for a multidisciplinary hepatic cancer and pregnancy that pregnancy, but contrast media should be avoided as includes an obstetrician, an maternal-fetal specialist, much as possible as possible [1, 13].

Contrast an oncologist, a cancer surgeon, a neonatologist, a substances using iodine or gadolinium, even in the specialist in pharmacology, but also a psychologist absence of proven major teratogenic effects can be and a social worker [12]. The therapeutic conduct used only if absolutely necessary and if all other should take into consideration the desire of women diagnostic methods have been exhausted[1].

The sentinel node tehnique, with cancer type, stage of disease, and the possibility of Technetium 99 can be used with caution if other keeping the current pregnancy[12].

Mammography - can be used safely hepatic cancer and pregnancy. Cervical Cytology - there is no after the first trimester, using abdominal shield difference between cytobrush and other harvesting protection [17],but sometimes because of the high methods regarding the complications bleeding, vascularization of the breast due to pregnancy miscarriages [22].

These mental retardation, carcinogenic risk, but these side cellular changes induced by pregnancy can cause effects are depending on the dose of hepatic cancer and pregnancy, the large cells with large nuclei and these cytological anatomical region examined and most important, the aspects can be misinterpreted as dysplastic cells [4].

cancer pulmonar transmitere virus del papiloma en garganta sintomas

Exposure to radiation with a higher 2. Cervical biopsy.

Человек благоговейно потянулся к закрепленной на брючном ремне батарее: эта машинка, подарок одного из клиентов, подарила ему новую жизнь.

The hepatic cancer and pregnancy will be indicated only when the suspicion of invasion is high, and it will be General aspects regarding tumor performed preferably into the second trimester when markers in pregnancy the risk of bleeding and miscarriage are lower.

Hepatic cancer and pregnancy factor that If bleeding occurs, it may be controlled by mostly limits their clinical utility is the lack of specificity using local application of silver nitrate solution or and sensitivity, because most tumor markers are Monsel solution, and ultimately it can be used suture associated with several diferent types of tumors [20].

Breast biopsy. It is preferable to use · CA —During pregnancy this marker is Core needle biopsy rather than incisional biopsy increased because it is produced in the decidual cells because it can be performed under local anesthesia and amnion [21]. Surgery avoid damaging the uterus by theVeres needle or by the trocar; Both surgery and anesthesia are safe in - The duration of the surgery should be less pregnancy, the risk of fetal distress occurring only in than 90 minutes; the event of major complications such as peritonitis, - Pneumoperitoneum will have a maximum or hemorrhagic shock [11, 13].

The main operating pressure of 10 to 13 mmHg; hepatic cancer and pregnancy that can occur after surgery is preterm - Intervention should be performed by an birth due to premature labor, which can occur due to experienced surgeon; uterine manipulation [12].

Anca Zgură, Laurenţia Galeş, Prof. Breast, ovarian, and cervical cancer are the most common cancers diagnosed during pregnancy. The manifestations encountered in colorectal cancer, such as abdominal pain, constipation, vomiting, nausea, rectal bleeding and altered bowel movements, are also found in normal pregnancy. In this paper, we present a case of colorectal cancer with hepatic metastasis diagnosed in a year-old preganant woman IIG, 1Pat 32 weeks of pregnancy.

After weeks of gestation, it is preferable Regarding the teratogenic risk of anesthetics to use midline laparotomy rather than laparoscopy, due it seems that most anesthetics are safe throughout to the increasing size of hepatic cancer and pregnancy uterus [1]. However it should be considered the maternal functional changes which are occurring Regarding breast cancer we can safely during pregnancy increased consumption of O2, the practice modified radical mastectomy or conservative decrease of residual pulmonary capacity, hypovolemic surgery lumpectomy with axillary lymphadenectomy syndrome, the inferior vena cava syndrome, etc.

SLNB homeostasis to avoid fetal complications due to has become a good alternative to axillary maternal hypotension[1]. The role of bilateral pelvic lymphadenectomy is diagnostic not therapeutic, II.

Liver Disease in Pregnancy - UCSF Liver Transplant Conference 2014

Chemotherapy because it seeks to establish the degree of extension of the disease and to achieve a more hepatic cancer and pregnancy Most clinical trials about fetuses exposed to staging[2]. Almost all chemotherapeutics are crossing differential diagnosis of adnexal tumors has hepatic cancer and pregnancy be through the placental barrier using passive diffusion, done, because the surgical risks hepatic cancer and pregnancy minimized using depending on liposolubility, polarity and molecular this technique.

Goidescu have the possibility of full regeneration. Between the 10th day and the 9th week taxanes are crossing the placental barrier in small after conception, the organogenesis occurs, and quantities[31]. Even if A. Alkylating agents are acting directly on organogenesis is completed, there is an increased cellular DNA, preventing cell replication.

After 14 weeks of pregnancy, neoadjuvant to reduce the effect of ovarian stimulation and are chemotherapy may come into question, the maintained at least 2 weeks after completing the teratogenic risk being smaller [11]. Even after this treatment [33]. Platinum-based antineoplastic drugs- the metabolism,the excretion and their bioavailability, the mostly used group to treat gynecologic cancers. These platinum complexes react in Physiological changes in pregnancy that can vivo, binding to and causing crosslinking of DNA, affect the chemotherapy are : which ultimately triggers apoptosis [36].

Some studies system; show a slightly ototoxic effect causing bilateral · A slowing of the intestinal tract function reduction of hearing and hepatic cancer and pregnancy, in children and consequently in the absorption of the born to mothers who carried out chemotherapy using chemotherapeutics this substance in pregnancy and for this reason · A decrease in serum albumin which will Carboplatin is most commonly used [11].

Usually the dosages of chemotherapy used · Oxaliplatin - is used for treatment of during pregnancy are similar to those applied to non- colorectal cancer and advanced ovarian cancer. Anthracyclines are topoisomerase dysfunction, which leads to a decreased fertility [33]. Hormonal therapy Cyclophosphamide. Cardonick et al, concluded in a study, that it is preferable to use Doxorubicin Tamoxifen is contraindicated throughout versus Epirubicin, due to more severe adverse effects hepatic cancer and pregnancy, because of the increased risk of fetal of the Epirubicin[28], but other studies do not support malformations craniofacial and urogenital these findings [38].

Fetal cardiotoxicity due to in utero malformations [13, 40]. Monoclonal antibodies subsequent studies, which assessed in utero cardiac function but also the postpartum cardiac function of Trastuzumab crosses the placenta in the newborns [39]. Taxanes: Paclitaxel or Docetaxel are which leads to oligoamnios and anhydramnios[41].

It seems that acts on VEGF, which passes through the placenta they do not cross the placental barrier and can be and has also a teratogenic effect, being known that used safely during pregnancy[36].

Cancerul colorectal în sarcină

VEGF plays a key role in embryo-fetal development[1]. Adjuvant medication treatment of hematological malignancies and less in the treatment of gynecologic cancers, because it has A.

Radiotherapy associated with low birth weight, fetal hormonal disorders, attention disorders hepatic cancer and pregnancy childhood and cerebral Radiotherapy and Brachytherapy of the palsy[11].

Granulocyte colony stimulating radiotherapy of the upper extremity of the body and factors Filgrastim® and Erythropoietin may be the limbs is hepatic cancer and pregnancy in the second quarter, especially used without reservation[11]. Antiemetic drugs- Metoclopramide, avoided if possible. Several adverse effects of Osetroncan be used safely hepatic cancer and pregnancy pregnancy [11].

The timing of birth- must be chosen cancers, fetal death, these effects depending on the carefully based on the stage of the disease, the fetal exposure time and total dose of exposure[13]. Goidescu deterioration in cognitive function in the newborns 2. Gynecologic cancers in [13]. There must be a period of 3 weeks between pregnancy: guidelines of a second international consensus the last cycle of chemotherapy and childbirth, in order meeting.

International journal of gynecological cancer : to diminish the risks for both mother and fetus[13]. Effects of fetal VIII. Breastfeeding - Women that have exposure to maternal chemotherapy. Paediatric drugs. European review for medical and pharmacological sciences. Patients diagnosed with gynecological 6. Pavlidis NA. Coexistence pastile pt paraziti pregnancy and malignancy.

The oncologist. Adnexal masses in pregnancy: monitored at intervals as short as possible, but the how often are they malignant? Gynecologic oncology.

If surgical intervention WK, Schiffman M, et al. Obstetrics and of experience of the center, the patient refuses gynecology. Sentinel lymph node biopsy for melanoma in pregnant women. Annals of surgical complications, to decrease the risk of progression and oncology. Radiation exposure and pregnancy: when should we be concerned? Radiographics trimesters of pregnancy.

In cases where possible, it : a review publication of the Radiological Hepatic cancer and pregnancy of North is recommended weekly chemotherapy in divided America, Inc. Gynecologic cancers in pregnancy: monitoring.

Cancer and safety. American journal of hepatic cancer and pregnancy and gynecology. Cancer, pregnancy and fertility: of these treatments during pregnancy and ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up.

Suppl 6:vi Safety of sentinel node biopsy in pregnant patients with breast cancer. The safety of lymphatic mapping in cancers during pregnancy. Current oncology reports. The breast journal.

hepatic cancer and pregnancy cancer plamani stadiul 4

Pavlidis N, Pentheroudakis G. The pregnant mother official journal of the American Society of Clinical with breast cancer: diagnostic and therapeutic Oncology. Cancer treatment reviews. Treatment of pregnant breast cancer Schlegelberger B, et al. Breast carcinoma during pregnancy. Transplacental transfer of and Management of Breast Masses During Pregnancy anthracyclines, vinblastine, and 4-hydroxy- and Lactation.