A clinical analysis on 6pregnant women with malignant tumors

Abstract

：Objective To investigatethe features of malignant tumors with pregnancy and common reasons of misdiagnosis andmissed diagnosis. Methods The clinical data on 6 pregnant women with malignant tumors whohad labored in our hospital during the period of January 1, 2008 to December 31, 2010 wereretrospectively analyzed. Results 6 of the 15 216 ( 0.04% ) pregnant women were found tohave malignant tumors; 2 of whom had lung cancer, one nasopharyngeal dareinoma, onecervical cancer, one breast cancer, and one metastatic liver cancer. All the malignanttumors were diagnosed at the gestational weeks of 31 to 40.Pregnancy was terminated byC-section within one week after the diagnosis was made. One-minute Apgar test showed 8score in one neonate, 9 in one, and 10 in the remaining four; five-minute test showed 10score in all the six neonates. They were all healthy so far. 3 of the women were deadwithin 3 months and one died 9 months after delivery; the rest 2 were still undertreatment and their condition was stable. All the women were diagnosed at the middle orlate stage and the dianosis were delayed in five of them. Conclusions The rate ofmisdiagnosis and missed diagnosis of malignant tumors with pregnancy is rather high. Moreattention should be paid on early abnormal symptoms in pregnant women to improve the earlydiagnosis and prognosis of malignant tumor.