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Schwangerschaft nach onkologischen Erkrankungen

Pregnancy after oncological diseases

  • Leitthema
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Der Gynäkologe Aims and scope

Zusammenfassung

Aufgrund der soziokulturellen Veränderungen mit später Familienplanung und verbesserten onkologischen Therapien werden Onkologen, Gynäkologen und Geburtshelfer zunehmend mit der Thematik Kinderwunsch nach onkologischer Therapie konfrontiert. Retrospektive Studien konnten zeigen, dass eine Schwangerschaft generell keinen ungünstigen Einfluss auf die Prognose und das Rezidivrisiko einer Krebserkrankung nach abgeschlossener onkologischer Therapie hat. Auch das Risiko fetaler Malformationen und teratogener Einflüsse nach abgeschlossener Chemotherapie, Strahlentherapie oder endokriner Therapie ist gegenüber dem Normalkollektiv nicht erhöht. Das Thema Kinderwunsch muss individuell mit der Patientin diskutiert werden und entsprechend Tumorentität, Tumorstadium und Tumorcharakteristiken beleuchtet werden.

Abstract

With regard to sociocultural changes and the tendency for women to postpone childbirth as well as improved oncological therapy, oncologists, gynecologists and obstetricians are more often faced with oncology patients wishing to become pregnant after oncological therapy. Some retrospective studies have demonstrated that pregnancy does not have an unfavorable effect on the prognosis and does not increase the risk of cancer recurrence after completed oncological therapy. The risk of fetal malformation or teratogenic effects is also not elevated after completed chemotherapy, radiation or endocrine therapy in comparison to a healthy control group. Patients wishing to become pregnant after completed oncological therapy must be counseled individually with regard to the tumor entity, tumor stage and tumor characteristics.

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Authors and Affiliations

  1. Klinik für Gynäkologie und Geburtshilfe, Agaplesion Markus Krankenhaus, Wilhelm-Epstein-Str. 4, 60431, Frankfurt am Main, Deutschland

    M. Thill

  2. Klinik für Frauenheilkunde und Geburtshilfe, Universitätsklinikum Schleswig-Holstein Campus Lübeck, Lübeck, Deutschland

    K. Baumann, K. Diedrich & F. Hoellen

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  1. M. Thill
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  2. K. Baumann
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  3. K. Diedrich
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  4. F. Hoellen
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Correspondence to M. Thill.

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Thill, M., Baumann, K., Diedrich, K. et al. Schwangerschaft nach onkologischen Erkrankungen. Gynäkologe 45, 945–950 (2012). https://doi.org/10.1007/s00129-012-3027-4

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  • DOI: https://doi.org/10.1007/s00129-012-3027-4

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