NEW YORK (Reuters Health) - The survival of pregnant women who have malignant
melanoma of the skin is no less than that of comparable women who are not
pregnant, European researchers report in the Journal of Clinical Oncology.
As lead investigator Dr. Marko Lens told Reuters Health, "The results from
this study show that status after a diagnosis of primary melanoma is not an
important prognostic factor."
Lens of St. James University Hospital, Leeds, UK and colleagues note that for
many years there has been concern that the hormonal and immunological changes
that accompany pregnancy may hasten progression of the disease. Study results
are conflicting.
To investigate further, the researchers examined 30 years of data from a
Swedish melanoma registry. They identified 185 women who were diagnosed during
pregnancy and 5,348 women of the same childbearing ages who were not pregnant.
There was no significant difference in survival between the two groups.
Pregnancy status at the time of diagnosis was not related to survival, and a
pregnancy that occurred after diagnosis was also not a significant predictor of
survival.
"Pregnant women with melanoma should be managed similarly to non-pregnant
women," Lens concluded. Also, there are no data that show terminating pregnancy
improves survival in women with melanoma, he added
SOURCE: Journal of Clinical Oncology