Does Pregnancy After a Diagnosis of Melanoma Affect Prognosis? Systematic Review and Meta-analysis

Byrom, Lisa; Olsen, Catherine M.; Knight, Lani; Khosrotehrani, Kiarash; Green, Adèle C.

doi:10.1097/dss.0000000000000406

Cited by 29 publications

(14 citation statements)

References 32 publications

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“…According to a meta‐analysis on pregnancy after a diagnosis of cutaneous melanoma, current evidence does not support the hypothesis that pregnancy subsequent to treatment worsens prognosis (Byrom et al. ).…”

Section: Discussionmentioning

confidence: 91%

Choroidal melanoma and pregnancy

Lemaître

Lévy-Gabriel

Desjardins

et al. 2016

Acta Ophthalmologica

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Section: Discussionmentioning

confidence: 91%

Choroidal melanoma and pregnancy

Lemaître

Lévy-Gabriel

Desjardins

et al. 2016

Acta Ophthalmologica

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“…However, Byrom et al investigated the role of a subsequent pregnancy after previously treated nonpregnancy-associated melanoma. 12 Interestingly, the authors could not find any significant influence on melanoma outcome, which suggests that pregnancy after diagnosis and treatment of melanoma does not put women at higher risk of recurrence or mortality. During pregnancy a change in colour of naevi is common due to hormonal influences, whereas an enlargement of naevi is mostly related to anatomical areas with physiological skin expansion.…”

Section: Discussionmentioning

confidence: 91%

“…However, Byrom et al . investigated the role of a subsequent pregnancy after previously treated nonpregnancy‐associated melanoma . Interestingly, the authors could not find any significant influence on melanoma outcome, which suggests that pregnancy after diagnosis and treatment of melanoma does not put women at higher risk of recurrence or mortality.…”

Section: Discussionmentioning

confidence: 96%

Pregnancy as a driver for melanoma

et al. 2017

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What's already known about this topic?Naevi are known to change in colour and size during pregnancy and melanoma is the most common type of cancer in pregnant women. What does this study add?The clinical features, dermoscopic images and histopathological appearance of two slowly growing melanomas detected by sequential digital dermoscopy imaging during pregnancy are reported. AbstractWhether or not pregnancy favours the occurrence and growth of melanoma is a source of controversy in the literature. Several case reports have shown dramatic courses of diseases in pregnancy. We present a case of a 36-year-old woman with multiple naevi with one melanoma detected in 2009 in the first trimester and a second primary melanoma in 2010 in the third trimester of her pregnancy. Both lesions have been present for at least 5 years and have been interpreted as dysplastic naevi. Because of their growth during pregnancy they were removed. No metastatic disease has been found between 2010 and early 2016. This case shows the difficulty of detecting melanomas in pregnancy, particularly when they mimic dysplastic naevi in women with multiple naevi, who are at higher risk. Therefore, we suggest that pregnant women with numerous naevi should be precautious of any changes of their naevi in size, shape and colour. Every suspicious lesion should be either excised or documented/monitored carefully, e.g. with sequential digital dermoscopy imaging.

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“…4 Survivors of malignant melanoma also seem to do well after pregnancy, but the evidence is more limited. 5 It is recommended that women who have received cardiotoxic chemotherapy should undergo cardiac evaluation in order to exclude subclinical cardiomyopathy.…”

Section: Is It Safe?mentioning

confidence: 99%