Malignome in der Schwangerschaft

Ovarian and placental cancers are rare complications of pregnancy. Nevertheless when they occur they are a real challenge for the perinatologist involved. Clinicians as well as the mother and their relatives have to cope with a special conflict situation. Early diagnosis and induction of the adequate therapy are crucial in these cases. Treatment depends on many different factors including gestational age, the stage and prognosis of the disease, as well as the parents wishes concerning the pregnancy. For appropriate decision-making a multidisciplinary approach including perinatologists, gynecologic oncologists, neonatologists and mental health professionals as well as extensive patient counseling is of main importance. This article gives an overview of ovarian cancer and gestational trophoblastic diseases complicating pregnancy including the main therapeutic options.