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논문 기본 정보

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학술저널
저자정보
Erin A. Blake (Division of Gynecologic Oncology Department of Obstetrics and Gynecology University of Southern Cal) Madushka Y. De Zoysa (University of Southern California Los Angeles CA USA.) Elise B. Morocco (University of Southern California Los Angeles CA) Samantha B. Kaiser (University of Southern California Los Angeles CA) Michiko Kodama (Osaka University Graduate School of Medicine Osaka) Brendan H. Grubbs (University of Southern California Los Angeles CA USA) Koji Matsuo (University of Southern California)
저널정보
대한부인종양학회 Journal of Gynecologic Oncology Journal of Gynecologic Oncology Vol.29 No.5
발행연도
2018.1
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1 - 9 (9page)

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Objective: To examine survival of teenage women with pregnancies complicated by primary ovarian cancer. Methods: This is a secondary analysis of a previously organized systematic literature review of primary ovarian cancer diagnosed during pregnancy. Cases eligible for analysis were patients whose age at cancer diagnosis and survival outcome were known (n=201). Pregnancy and oncologic outcome were then examined based on patient age. Results: These were comprised of 95 (47.3%) epithelial ovarian cancers (EOCs), 82 (40.8%) malignant germ cell tumors (MGCTs), and 24 (11.9%) sex-cord stromal tumors (SCSTs). Teenage pregnancy was seen in 21 (10%) cases, and was highest among the SCST group compared to the other cancer types (EOC, 1.1%; MGCT, 14.6%; and SCST, 29.2%, p<0.001). Live birth rates, neonatal weight, full term delivery rates, and Cesarean section rates were similar between the teenage group and the non-teenage group (all, p>0.05); however, teenage pregnancy was significantly associated with an increased risk of serious maternal/neonatal adverse events (50% vs. 22.7%, p=0.013). On univariable analysis, teenage pregnancy was significantly associated with decreased ovarian cancer-specific survival (5-year rate: age ≥30, 79.6%; age 20–29, 87.2%; and age <20, 41.6%; p<0.001). On multivariable analysis controlling for calendar year, cancer type, cancer stage, and gestational age at ovarian cancer diagnosis, teenage pregnancy remained an independent prognostic factor for decreased ovarian cancer-specific survival compared to women aged ≥30 (adjusted-hazard ratio=4.71; 95% confidence interval=1.17–18.9; p=0.029). Conclusion: Teenage women with pregnancies complicated by primary ovarian cancer may be at increased risk of poor survival from ovarian cancer.

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참고문헌 (23)

참고문헌 신청
Kodama M / 2014 / Feto-maternal outcomes of pregnancy complicated by ovarian malignant germ cell tumor: a systematic review of literature / Eur J Obstet Gynecol Reprod Biol 181:145~156 Crossref Blake EA / 2015 / Feto-maternal outcomes of pregnancy complicated by epithelial ovarian cancer: a systematic review of literature / Eur J Obstet Gynecol Reprod Biol 186:97~105 Crossref Blake EA / 2014 / Feto-maternal outcomes of pregnancy complicated by ovarian sex-cord stromal tumor: a systematic review of literature / Eur J Obstet Gynecol Reprod Biol 175:1~7 Crossref Centers for Disease Control and Prevention / About teen pregnancy google schola Althabe F / 2015 / Adverse maternal and perinatal outcomes in adolescent pregnancies: The Global Network's Maternal Newborn Health Registry study / Reprod Health 12(Suppl 2):S8 Crossref

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