부산대학교 도서관

Introduction. Genital cancers are the leading cause of death among women, mainly due to the absence of effective screening and advanced disease at the diagnosis. An important percentage of genital cancers occur in women younger than 40 years of age (cervical cancer; about 8-12% for ovarian cancer). The standard surgical treatment for genital cancers implies the removal of the internal genital organs, with the loss of the reproductive function in younger women. Fertility-sparring surgery (FSS) in young patients with genital cancers is a current issue directly related to quality of life, but not yet solved, due to the lack of large prospective randomized trials and cohort studies. The follow-up of the pregnancy after FSS is challenging, with special accents in cervical and ovarian cancers. Cases presentation. We present some cases of follow-up of a pregnancy after cervical and ovarian cancers, which includes aspects of both normal evolution of pregnancy and follow-up of neoplasia during pregnancy. FSS in cervical cancer is associated with a reduction of cervical length, so transvaginal ultrasound is an important tool in pregnancy follow-up. FSS in ovarian cancer is associated with the risk of disease relapse, which is even more difficult to diagnose during pregnancy. In this context, transvaginal evaluation of Douglas pouch could provide data about disease evaluation. Conclusions. Transvaginal ultrasound might prove very valuable in post-neoplasia pregnancy follow-up. [ABSTRACT FROM AUTHOR]