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Abstract
During pregnancy, the diagnosis of gynecological cancer presents unique challenges, requiring careful management strategies to preserve both maternal and fetal health. Furthermore, the psychological issue of the pregnant woman also becomes a question of challenges during chemotherapy treatment as well as the gestational period. Objective: To evaluate management strategies and their impact on the prognosis of gynecological cancer during pregnancy. Methodology: Data collection was conducted through databases: Nursing Database (BDENF), Scientific Electronic Library Online (SCIELO), PubMed, Latin American Caribbean Literature in Health Sciences (LILACS). Various types of publications were consulted, including scientific articles, monographs and magazines, with the aim of obtaining relevant information on the topic. With regard to eligibility criteria, the following were selected: original articles, systematic reviews, integrative reviews or case reports, as long as they were made available free of charge, published with a time frame of (2012 to 2023), without criteria for location and language of publication. From the ineligibility criteria, non-scientific publications, scientific publications that had incomplete texts, abstracts and theses were excluded. In this way, 15 articles were used to compose the study research. Results and Discussion: The management of gynecological cancer during pregnancy involves delicate decisions, balancing the need for effective treatment with fetal safety. Multidisciplinary management, including oncologists and obstetricians, is crucial to optimize outcomes. Therefore, the strategies highlight the importance of individualizing the care plan, considering the type of cancer, gestational stage and patient preferences. The influence of these decisions on both maternal and fetal prognosis requires careful attention to ensure an appropriate balance between treatment efficacy and pregnancy safety. Final Considerations: In conclusion, the prognosis of cancer during pregnancy demands a personalized and collaborative approach between specialists. Although challenges persist, careful consideration of treatment strategies can contribute to better treatment responses.
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Copyright (c) 2024 Ana Beatriz Oliveira de Melo , Maria Eduarda Bezerra do Nascimento , Thienifer Cristiny Mendes Alves , Maressa Samai Pinheiro Silva , Victor Hugo Júlio da Rosa