I have a pregnant women in 24 GW post ET . In 14. GW adnexectomy was done because of tuboovarian abscessus and reoperated because of ileus strangulationis. HP confirmed Ovary Adenocarcinoma Immunohystochem. done AdenoCa G2 NG2 She decided to keep pregnancy. We will do CS and hysterectomy. Does anyone have suggestions where to do chemo in the USA or Europe?
Antonio Macciò MD, Department of Gynecologic Oncology, A. Businco Hospital, Referral Regional Center for Cancer Disease, Cagliari, Sardinia, Italy, +393478981964; +3907051096081
She could be followed at my Institution, where we perform chemotherapy during pregnancy and any other conservative surgery during pregnancy.
Dear Branka, the stategy should be to perform 2-3 cycles of neoadjuvant platinum based chemotherapy and to deliver the baby above 30 weeks of gestation; this should be done in a center for gynecologic oncology and for perinatal medecine. Certainly we would also offer to support you and your patient in Essen, Germany: however, Vesna Kesic may give you some additional advice as incoming president of ESGO and well connected to the "cancer in pregnancy" task force of Frederic Amant in Leuven/Belgium.
Sincerely Yours
Rainer
Dear Branka ,i feel you can continue the pregnancy after the period of viability and attaining atleast lung maturity around 32-34 weeks of gestation und er the cover of chemotherapyand then delivery by casearian section in Gyanecologic oncology center,with good neonatal set up.we offer you services in our center at cama and albless hospitals Gyanec oncology center,mumbai.Radical surgery can be decided at the time of casearean section.
Dr O'Reilly at Clatterbridge Centre for Oncology, Clatterbridge, Wirral, England has given chemotherapy in the second trimester of pregnancy. She had information from USA to back this up.
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