merencanakan kehamilan pada pasien kanker serviks - Diskusi Dokter

general_alomedika

selamat malam dokbeberapa user Alodokter sering menanyakan seputar merencanakan kehamilan pada pasien ca serviks. Penjelasannya bagaimana ya? Apakah...

Diskusi Dokter

23 Oktober 2018, 20:13
dr.Jonathan Chandra Nainggolan SpOG
dr.Jonathan Chandra Nainggolan SpOG
Dokter Spesialis Kandungan

dr. Alfonsus Mario Eri Surya Djaya
Okt 23, 2018 at 19:35 PM

selamat malam dok

beberapa user Alodokter sering menanyakan seputar merencanakan kehamilan pada pasien ca serviks. Penjelasannya bagaimana ya?
Apakah dimungkinkan?
karena kebanyakan pasien ca yg saya temui sudah stadium lanjut ya. jadi tidak mungkin. Tapi utk stadium awal bagaimana ya?

Terimakasih

malam dokter. klo masih stadium awal dok. misal stadium 1 dan 2 masih bisa pertimbangan operasi sesar nantinya dan lanjut histerektomi bila stadium lanjut 3 dan 4 kemo dan radiasi sinar setelah melahirkan dok. kami masih ada yg stadium 2 dok masih bisa dipertahankan tetapi tetap anc di rmh sakit dok.

23 Oktober 2018, 20:46
dr.Jonathan Chandra Nainggolan SpOG
dr.Jonathan Chandra Nainggolan SpOG
Dokter Spesialis Kandungan

dr.Jonathan Chandra Nainggolan SpOG
Okt 23, 2018 at 20:13 PM

malam dokter. klo masih stadium awal dok. misal stadium 1 dan 2 masih bisa pertimbangan operasi sesar nantinya dan lanjut histerektomi bila stadium lanjut 3 dan 4 kemo dan radiasi sinar setelah melahirkan dok. kami masih ada yg stadium 2 dok masih bisa dipertahankan tetapi tetap anc di rmh sakit dok.

However, this is often not possible in the case of cervical cancer, without termination of pregnancy or delay of treatment. Patients need to be aware that any type of treatment during pregnancy is experimental. When preservation of pregnancy is not needed, standard treatment with radical hysterectomy (with foetus in utero) and chemoradiation are both feasible options.
When cervical cancer is diagnosed during the first trimester of a wanted pregnancy, a conservative approach is proposed to reach the second trimester. During the third trimester, foetal maturity is awaited and a Caesarean section followed by standard treatment is proposed. During the second trimester, interventions including lymphadenectomy, conisation, trachelectomy and neoadjuvant chemotherapy can be considered [Amant et al. 2009].

23 Oktober 2018, 20:49

dr.Jonathan Chandra Nainggolan SpOG
Okt 23, 2018 at 20:46 PM

However, this is often not possible in the case of cervical cancer, without termination of pregnancy or delay of treatment. Patients need to be aware that any type of treatment during pregnancy is experimental. When preservation of pregnancy is not needed, standard treatment with radical hysterectomy (with foetus in utero) and chemoradiation are both feasible options.
When cervical cancer is diagnosed during the first trimester of a wanted pregnancy, a conservative approach is proposed to reach the second trimester. During the third trimester, foetal maturity is awaited and a Caesarean section followed by standard treatment is proposed. During the second trimester, interventions including lymphadenectomy, conisation, trachelectomy and neoadjuvant chemotherapy can be considered [Amant et al. 2009].

terimakasih atas sharingnya ya dok