ESGO/INCIP Guidelines for the management of patients with gynecological cancers during pregnancy

ESGO–INCIP Guidelines on Gynecological Cancers During Pregnancy

Managing gynecological cancers in pregnancy is one of the most complex challenges in oncology. To support patients and healthcare teams, ESGO—together with the International Network on Cancer, Infertility and Pregnancy (INCIP)—has developed comprehensive, evidence-based guidelines.

These guidelines, first published in 2019 and recently updated, bring together the expertise of 21 international specialists, patient advocates, and 100 external reviewers worldwide. They provide practical algorithms and recommendations covering:

• Safe diagnostic imaging and pathology during pregnancy

• Surgical decision-making and timing

• Systemic therapy and radiation considerations

• Obstetric management and maternal–fetal follow-up

• Patient perspectives and psychological support

• Pediatric and long-term child outcomes

The guidelines ensure that every decision is grounded in the latest evidence and shaped by a truly multidisciplinary, global perspective.