Pregnancy-associated cancers: a population-based study
https://doi.org/10.18027/2224-5057-2023-13-1-5-10
Abstract
Introduction: Pregnancy-associated cancers are malignant neoplasms (MNs) diagnosed during pregnancy or within 12 months after delivery. The study aimed to evaluate the prevalence of pregnancy-associated cancers at the population level.
Materials and methods: The population database was created from databases of two regional systems: the automated system Pregnancy Monitoring Program and the ONCOR system.
Results: Overall, 357 female patients with pregnancy-associated cancers were identified. The incidence rate was 1.659 per 1,000 pregnancies. The most common MN localizations were cervix, breast, thyroid, and ovary. Most female patients were between 45 and 49 years of age. Stage IV breast cancer was identified in a large proportion of women undergoing delivery. Conversely, cervical and ovarian cancers were commonly diagnosed at early stages. The 1-year survival rate of patients with pregnancy-associated cancers was higher than in the entire cancer population.
Conclusions: Pregnancy-associated cancers are still a complex and poorly understood issue that requires additional studies, disease-specific monitoring and treatment protocols.
About the Authors
V. V. PetkauRussian Federation
Vladislav V. Petkau, MD, PhD, Deputy Chief Physician for Drug Treatment; associate professor, Department of Oncology and Imaging
Ekaterinburg
K. E. Kiselyova
Russian Federation
Ksenia Ye. Kiseleva, physician trainee
Ekaterinburg
E. A. Kiselev
Russian Federation
Evgeny A. Kiselev, MD, PhD, Deputy Chief Physician for Clinical Care
Ekaterinburg
S. A. Efremov
Russian Federation
Sergei A. Efremov, Director
Ekaterinburg
N. O. Ankudinov
Russian Federation
Nikolai O. Ankudinov, Head of the Remote Obstetric Consultative Center, Yekaterinburg Clinical Perinatal Center
Ekaterinburg
A. A. Karimova
Russian Federation
Alisa A. Karimova, Candidate of Pharmaceutical Sciences, associate professor, Department of Public Health and Healthcare
Ekaterinburg
References
1. Metcalfe A., Cairncross Z. F., Friedenreich C. M., Ray J. G., Nelson G., Fell D. B. et al. Incidence of Pregnancy-Associated Cancer in Two Canadian Provinces : A Population-Based Study // International journal of environmental research and public health, 18 (6), 3100. https://doi.org/10.3390/ijerph18063100.
2. Серов В. Н. и др. Рак и беременность // РМЖ. Мать и дитя .– 2015 .– №. 20.
3. Шириналиев Н. М., Андреева Н. Л. Злокачественные новообразования шейки матки, ассоциированные с беременностью // Медицинские новости. – 2016 .– №. 12 (267).
4. Паньшин Г. А., Слобина Е. Л. Лечение злокачественных новообразований на фоне беременности. Часть 1 (общие вопросы) // Вестник Российского научного центра рентгенорадиологии Минздрава России. – 2015. – Т. 15. – №. 3.
5. Cottreau C. M., Dashevsky I., Andrade S.E., Li D.K., Nekhlyudov L., Raebel M.A. et al. Pregnancy-Associated Cancer : A U.S. Population-Based Study // J Womens Health (Larchmt) .– 2019. 28 (2) : 250–257. doi:10.1089/jwh.2018.6962.
6. Dalmartello M. et al. Frequency of pregnancy-associated Cancer : a systematic review of population-based studies // Cancers. – 2020. – Т. 12. – №. 6. – С. 1356.
7. Metcalfe A., Cairncross Z. F., Friedenreich C. M., Ray J. G., Nelson G., Fell D.B. et al. Incidence of Pregnancy-Associated Cancer in Two Canadian Provinces : A Population-Based Study // International Journal of Environmental Research and Public Health. – 2021. – Т. 18. – №. 6. – С. 3100.
8. Анкудинов Н. О. и др. Региональный акушерский мониторинг в Свердловской области. Инновационный инструмент для снижения материнской и перинатальной смертности // Архив акушерства и гинекологии им. ВФ Снегирева. – 2016. – Т. 3. – №. 1.
9. Зильбер Н. А. и др. Региональный акушерский мониторинг в Свердловской области // Здравоохранение. – 2015. – №. 2. – С. 54–59.
10. Зильбер Н. А., Анкудинов Н. О. Региональный акушерский мониторинг : инновационный инструмент управления кластером родовспоможения // Журнал телемедицины и электронного здравоохранения. – 2019. – Т. 5. – №. 1. – С. 3–7.
11. Ефремов С. А., Петкау В. В., Груздева Е. А. Внедрение системы поддержки работы онкологической службы на уровне региона // Менеджер здравоохранения. – 2021. – №. 2. – С. 25–30.
12. Петкау В.В., Каримова А.А., Ефремов С.А., Груздева Е.А. Влияние доступности противоопухолевого лекарственного лечения на целевые показатели работы онкологической службы // Медицинский совет. – 2021. – № S4. – С. 80–86.
13. Ефремов С. А., Груздева Е. А., Петкау В. В. Информатизация онкологической службы в регионе : система поддержки работы онкологической служб // Журнал телемедицины и электронного здравоохранения. – 2020. – Т. 6. – №. 3. – С. 31–35.
14. Lee Y. Y., Roberts C. L., Dobbins T., Stavrou, E. Black, K., Morris, J., & Young, J. (2012) // Incidence and outcomes of pregnancy-associated cancer in Australia, 1994–2008 : a population-based linkage study. BJOG : an international journal of obstetrics and gynaecology, 119 (13), 1572–1582.
15. Johansson, A., Fredriksson I., Mellemkjaer L., Stensheim H., Lähteenmäki P., Winther J. F. et al. Cancer survival in women diagnosed with pregnancy-associated cancer : An overview using nationwide registry data in Sweden 1970–2018. Eur J Cancer. 2021 ; 155 : 106–115. doi:10.1016/j.ejca.2021.07.008
Review
For citations:
Petkau V. ., Kiselyova K.E., Kiselev E.A., Efremov S. ., Ankudinov N.O., Karimova A.A. Pregnancy-associated cancers: a population-based study. Malignant tumours. 2023;13(1):5-10. (In Russ.) https://doi.org/10.18027/2224-5057-2023-13-1-5-10