Cancer Treatment and Immunotherapy during Pregnancy

被引:7
作者
Koutras, Antonios [1 ]
Ntounis, Thomas [1 ]
Fasoulakis, Zacharias [1 ]
Papalios, Theodoros [1 ]
Pittokopitou, Savia [1 ]
Prokopakis, Ioannis [1 ]
Syllaios, Athanasios [2 ]
Valsamaki, Asimina [3 ]
Chionis, Athanasios [4 ]
Symeonidis, Panagiotis [5 ]
Samara, Athina A. [6 ]
Pagkalos, Athanasios [7 ]
Pergialiotis, Vasilios [1 ]
Theodora, Marianna [1 ]
Antsaklis, Panos [1 ]
Daskalakis, Georgios [1 ]
Kontomanolis, Emmanuel N. [5 ]
机构
[1] Natl & Kapodistrian Univ Athens, Dept Obstet & Gynecol 1, Gen Hosp Athens ALEXANDRA, Lourou & Vasilissis Sofias Ave, Athens 11528, Greece
[2] Natl & Kapodistrian Univ Athens, Dept Surg 1, Laikon Gen Hosp, Agiou Thoma Str 17, Athens 11527, Greece
[3] Koutlimbaneio & Triantafylleio Gen Hosp Larissa, Dept Internal Med, Tsakalof Str 1, Larisa 41221, Greece
[4] Laikon Gen Hosp Athens, Dept Obstet & Gynecol, Agiou Thoma Str 17, Athens 11527, Greece
[5] Democritus Univ Thrace, Dept Obstet & Gynecol, 6th Km Alexandroupolis Makris, Alexandroupolis 68100, Greece
[6] Univ Gen Hosp Larissa, Dept Embryol, Larisa 41110, Greece
[7] Gen Hosp Xanthi, Dept Obstet & Gynecol, Xanthi 67100, Greece
关键词
immunotherapy; cancer; pregnancy; gestation; chemotherapy during pregnancy; BREAST-CANCER; METASTATIC MELANOMA; MYELOID-LEUKEMIA; INTERFERON-ALPHA; THYROID-CANCER; CHEMOTHERAPY; MANAGEMENT; PATIENT; IMATINIB; MALIGNANCIES;
D O I
10.3390/pharmaceutics14102080
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Background/aim: Immunotherapy has, in recent years, witnessed an expansion in its indications for the treatment of cancer. Coupled with the fact that, nowadays, even more women choose to postpone parenthood, thus increasing their chances of having some kind of malignancy during pregnancy, more and more women are eligible for receiving immunotherapy during this period of their lives. The cases of cancer diagnosed during pregnancy is an ever-increasing trend nowadays. Materials and methods: The oncologists and clinicians treating women often face a range of ethical and therapeutic dilemmas due to the particularity of the patient's conditions. The primary concern is the protection of the mother, firstly, and then the fetus (through adjustments to the various treatment regimens) if possible. Results and conclusions: Oncological drugs, radiation therapy, surgery, or a combination of all the above methods are selected, depending on the case. In this project, we studied the oncology drugs used for various types of gestational cancer, their appropriateness and timing, as well as their possible effects on the parent and embryo upon their administration. Various studies have shown that the administration of oncological drugs should be postponed until at least after the first trimester of pregnancy.
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页数:15
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共 86 条
[1]   Tyrosine Kinase Inhibitors and Pregnancy [J].
Abruzzese, Elisabetta ;
Trawinska, Malgorzata Monika ;
Perrotti, Alessio Pio ;
De Fabritiis, Paolo .
MEDITERRANEAN JOURNAL OF HEMATOLOGY AND INFECTIOUS DISEASES, 2014, 6 (01)
[2]   Malignancies in pregnancy [J].
Albright, Catherine M. ;
Wenstrom, Katharine D. .
BEST PRACTICE & RESEARCH CLINICAL OBSTETRICS & GYNAECOLOGY, 2016, 33 :2-18
[3]   Imatinib and pregnancy [J].
Ali, Ridvan ;
Ozkalemkas, Fahir ;
Ozcelik, Tulay ;
Ozkocaman, Vildan ;
Ozkan, Atilla .
JOURNAL OF CLINICAL ONCOLOGY, 2006, 24 (23) :3812-3813
[4]   Gynecologic Cancers in Pregnancy: Guidelines of an International Consensus Meeting [J].
Amant, Frederic ;
Van Calsteren, Kristel ;
Halaska, Michael J. ;
Beijnen, Jos ;
Lagae, Lieven ;
Hanssens, Myriam ;
Heyns, Liesbeth ;
Lannoo, Lore ;
Ottevanger, Nelleke P. ;
Bogaert, Walter Vanden ;
Ungar, Laszlo ;
Vergote, Ignace ;
du Bois, Andreas .
INTERNATIONAL JOURNAL OF GYNECOLOGICAL CANCER, 2009, 19 :S1-S12
[5]  
American Cancer Society, About us
[6]   Hematological malignancies and pregnancy:: A final report of 84 children who received chemotherapy in utero [J].
Avilés, A ;
Neri, N .
CLINICAL LYMPHOMA, 2001, 2 (03) :173-177
[7]   Treatment of metastatic breast cancer during pregnancy: We need to talk! [J].
Azim, Hatem A., Jr. ;
Peccatori, Fedro A. .
BREAST, 2008, 17 (04) :426-428
[8]   Treatment of the pregnant mother with cancer: A systematic review on the use of cytotoxic, endocrine, targeted agents and immunotherapy during pregnancy. Part I: Solid tumors [J].
Azim, Hatem A., Jr. ;
Peccatori, Fedro A. ;
Pavlidis, Nicholas .
CANCER TREATMENT REVIEWS, 2010, 36 (02) :101-109
[9]   Hodgkin Lymphoma in Pregnancy [J].
Bachanova, Veronika ;
Connors, Joseph M. .
CURRENT HEMATOLOGIC MALIGNANCY REPORTS, 2013, 8 (03) :211-217
[10]   Novel nanohydrogel of hyaluronic acid loaded with quercetin alone and in combination with temozolomide as new therapeutic tool, CD44 targeted based, of glioblastoma multiforme [J].
Barbarisi, Manlio ;
Iaffaioli, Rosario V. ;
Armenia, Emilia ;
Schiavo, Luigi ;
De Sena, Gabriele ;
Tafuto, Salvatore ;
Barbarisi, Alfonso ;
Quagliariello, Vincenzo .
JOURNAL OF CELLULAR PHYSIOLOGY, 2018, 233 (10) :6550-6564