Health · Healthcare & Policy · 1 hr ago

Cancer treatment during pregnancy may be possible without ending the pregnancy

Cancer treatment during pregnancy may be possible without ending the pregnancy

A maternal-fetal medicine physician says pregnant cancer patients are often urged to end their pregnancies without a full discussion of treatment options.

She describes one patient with ovarian cancer who received scans and chemotherapy while pregnant and survived, while another patient’s treatment was delayed until late pregnancy and she died.

The physician says some cancer treatments, including chemotherapy, can be given during pregnancy, and babies may be delivered at term.

Cancer can be diagnosed later during pregnancy because symptoms overlap and doctors may hesitate to use imaging or arrange biopsies.

She says ending a pregnancy has not been shown to improve a woman’s cancer survival compared with continuing it.

The Cancer and Pregnancy Registry has collected 650 cases to help track outcomes for mothers and babies, and the physician urges doctors to consider how they would treat the cancer if the patient were not pregnant.

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What people are saying

Cardonickmaternal-fetal medicine physician and Cancer and Pregnancy Registry founder
Your doctor went to the library and researched managing ovarian cancer during pregnancy, and her doctor didn’t.
via STAT
No study has shown an improvement in a woman’s survival if she terminates her pregnancy compared to if she continues.
via STAT
Another physicianphysician, as recalled by Cardonick
She already had two kids. She should terminate.
via STAT