{"id":9556,"date":"2020-01-14T21:43:03","date_gmt":"2020-01-14T21:43:03","guid":{"rendered":"https:\/\/blogs.cooperhealth.org\/ehealth\/?p=9556"},"modified":"2020-01-14T21:43:03","modified_gmt":"2020-01-14T21:43:03","slug":"cover-story-expert-guidance-for-pregnant-women-with-cancer","status":"publish","type":"post","link":"https:\/\/blogs.cooperhealth.org\/ehealth\/2020\/01\/14\/cover-story-expert-guidance-for-pregnant-women-with-cancer\/","title":{"rendered":"Cover Story: Expert Guidance for Pregnant Women with Cancer"},"content":{"rendered":"<div id=\"attachment_9535\" style=\"width: 710px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-9535\" class=\"wp-image-9535 size-medium_large\" src=\"https:\/\/blogs.cooperhealth.org\/ehealth\/files\/2020\/01\/Cooper_PhyllisMarkoff-_47-768x512.jpg\" alt=\"\" width=\"700\" height=\"467\" srcset=\"https:\/\/blogs.cooperhealth.org\/ehealth\/files\/2020\/01\/Cooper_PhyllisMarkoff-_47-768x512.jpg 768w, https:\/\/blogs.cooperhealth.org\/ehealth\/files\/2020\/01\/Cooper_PhyllisMarkoff-_47-300x200.jpg 300w, https:\/\/blogs.cooperhealth.org\/ehealth\/files\/2020\/01\/Cooper_PhyllisMarkoff-_47-1024x683.jpg 1024w, https:\/\/blogs.cooperhealth.org\/ehealth\/files\/2020\/01\/Cooper_PhyllisMarkoff-_47-1536x1024.jpg 1536w, https:\/\/blogs.cooperhealth.org\/ehealth\/files\/2020\/01\/Cooper_PhyllisMarkoff-_47-2048x1365.jpg 2048w, https:\/\/blogs.cooperhealth.org\/ehealth\/files\/2020\/01\/Cooper_PhyllisMarkoff-_47-1200x800.jpg 1200w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/><p id=\"caption-attachment-9535\" class=\"wp-caption-text\">In 2005, Phyllis Markoff was 29 weeks into her pregnancy when she rolled over in bed one night and discovered a lump in her breast. She is pictured here with her son, Jacob, who is now a busy teen.<\/p><\/div>\n<div id=\"attachment_9541\" style=\"width: 198px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-9541\" class=\"wp-image-9541\" src=\"https:\/\/blogs.cooperhealth.org\/ehealth\/files\/2020\/01\/Grana-headshot.jpg-768x1152.jpg\" alt=\"Generosa Grana, MD, Director of the MD Anderson Cancer Center at Cooper\" width=\"188\" height=\"282\" srcset=\"https:\/\/blogs.cooperhealth.org\/ehealth\/files\/2020\/01\/Grana-headshot.jpg-768x1152.jpg 768w, https:\/\/blogs.cooperhealth.org\/ehealth\/files\/2020\/01\/Grana-headshot.jpg-200x300.jpg 200w, https:\/\/blogs.cooperhealth.org\/ehealth\/files\/2020\/01\/Grana-headshot.jpg-683x1024.jpg 683w, https:\/\/blogs.cooperhealth.org\/ehealth\/files\/2020\/01\/Grana-headshot.jpg-1024x1536.jpg 1024w, https:\/\/blogs.cooperhealth.org\/ehealth\/files\/2020\/01\/Grana-headshot.jpg-800x1200.jpg 800w, https:\/\/blogs.cooperhealth.org\/ehealth\/files\/2020\/01\/Grana-headshot.jpg.jpg 1200w\" sizes=\"auto, (max-width: 188px) 100vw, 188px\" \/><p id=\"caption-attachment-9541\" class=\"wp-caption-text\">Generosa Grana, MD, Director of the MD Anderson Cancer Center at Cooper<\/p><\/div>\n<p>Discovering that you\u2019re pregnant and that you have cancer is a study in contrasts\u2014it\u2019s the happiest time in many women\u2019s lives combined with one of the darkest and most terrifying.<\/p>\n<p>\u201cIn the midst of the joy of pregnancy there\u2019s this frightening diagnosis,\u201d says <a href=\"https:\/\/www.cooperhealth.org\/doctors\/generosa-grana-md\">Generosa Grana, MD<\/a>, Director of the <a href=\"https:\/\/www.cooperhealth.org\/services\/md-anderson-cancer-center-cooper\">MD Anderson Cancer Center at Cooper<\/a>. \u201cThe mom-to-be is worried about her own survival as well as the impact of her disease on the baby she\u2019s giving birth to. What\u2019s more, many doctors aren\u2019t used to dealing with this difficult situation.\u201d<\/p>\n<p>To help relieve the fear and guide women and their doctors to make the most informed, effective treatment decisions, Cooper has established a <a href=\"https:\/\/www.cooperhealth.org\/services\/cancer-care-during-pregnancy\">Cancer and Childbirth Registry<\/a>. With more than 420 women and 530 children in its database to date, the registry is the only one of its kind in the U.S. and one of only two in the world (the other is in Europe).<\/p>\n<p>In 2005, Phyllis Markoff was 29 weeks into her pregnancy when she rolled over in bed one night and discovered a lump in her breast. After she received a breast cancer diagnosis from her surgeon, Markoff was referred to Cooper for cancer care.<\/p>\n<div id=\"attachment_9560\" style=\"width: 198px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-9560\" class=\"size-full wp-image-9560\" src=\"https:\/\/blogs.cooperhealth.org\/ehealth\/files\/2020\/01\/DrCardonick.jpg\" alt=\"Elyce H. Cardonick, MD, Director of the Cancer and Childbirth Registry\" width=\"188\" height=\"252\" \/><p id=\"caption-attachment-9560\" class=\"wp-caption-text\">Elyce H. Cardonick, MD, Director of the Cancer and Childbirth Registry<\/p><\/div>\n<p>\u201cI initially went through every gamut of emotions,\u201d says Markoff, discussing her cancer diagnosis during pregnancy, \u201cfrom terror, to hope, to believing this is what is happening to me.\u201d It was her referral to Dr. Grana and then to <a href=\"https:\/\/www.cooperhealth.org\/doctors\/elyce-cardonick-md\">Elyce H. Cardonick, MD<\/a>, Director of the Cancer and Childbirth Registry, that made all the difference. The findings of the registry showed that patients can safely receive treatment during pregnancy and go on to have healthy babies.<\/p>\n<p>\u201cWhat we\u2019re learning is that most types of cancer don\u2019t require termination of pregnancy,\u201d says Dr. Cardonick. \u201cIn fact, when I started the registry in 1997, 20 percent of doctors recommended termination for a pregnant patient with cancer; today, that\u2019s down to 12 percent. Plus, we\u2019ve learned that preterm delivery is not always necessary. So we\u2019re able to reassure women that they don\u2019t necessarily have to terminate or choose their baby over themselves.\u201d<\/p>\n<p>\u201cThe data are showing us how women can have surgery, x-rays and, amazingly, even certain types of full-dose chemotherapy during pregnancy without harming their baby,\u201d she says. \u201cBy accumulating the data in one place, we\u2019re able to see patterns and trends and reassure women and physicians about care decisions and the impact they have on child development, breastfeeding, and more.\u201d<\/p>\n<p>Markoff, who had two rounds of chemotherapy before delivering her son, says, \u201cDr. Cardonick visited me in the hospital. This kind of support\u2014from the nurses, social workers, the entire team\u2014makes all the difference.\u201d<\/p>\n<div id=\"attachment_9561\" style=\"width: 401px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-9561\" class=\"size-full wp-image-9561\" src=\"https:\/\/blogs.cooperhealth.org\/ehealth\/files\/2020\/01\/Cooper_PhyllisMarkoff-_54.jpg\" alt=\"\" width=\"391\" height=\"331\" srcset=\"https:\/\/blogs.cooperhealth.org\/ehealth\/files\/2020\/01\/Cooper_PhyllisMarkoff-_54.jpg 391w, https:\/\/blogs.cooperhealth.org\/ehealth\/files\/2020\/01\/Cooper_PhyllisMarkoff-_54-300x254.jpg 300w\" sizes=\"auto, (max-width: 391px) 100vw, 391px\" \/><p id=\"caption-attachment-9561\" class=\"wp-caption-text\">Phyllis Markoff is shown with her children, Jacob and Sam, and husband, Michael (not shown, their family dog, Cooper).<\/p><\/div>\n<p>Dr. Grana also reminds women in the South Jersey region that Cooper has an entire team of cancer specialists\u2014surgeons, oncologists, radiation therapists, genetic counselors\u2014who are experienced in the <a href=\"https:\/\/www.cooperhealth.org\/services\/cancer-care-during-pregnancy\">management of cancer and pregnancy<\/a>.<\/p>\n<p>Dr. Cardonick has been following Markoff\u2019s son for 13 years. Now a busy teen, he plays basketball and soccer like his peers. Markoff proudly states, \u201ctoday Jacob is the picture of health.\u201d<\/p>\n<hr \/>\n<p>For more information about the Cooper Cancer and Childbirth Registry, email CancerInPregnancy@CooperHealth.edu or visit <a href=\"http:\/\/cooperhealth.org\/cancerandpregnacy\">CooperHealth.org\/CancerAndPregnancy<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Discovering that you\u2019re pregnant and that you have cancer is a study in contrasts\u2014it\u2019s the happiest time in many women\u2019s lives combined with one of the darkest and most terrifying. \u201cIn the midst of the joy of pregnancy there\u2019s this frightening diagnosis,\u201d says Generosa Grana, MD, Director of the MD Anderson Cancer Center at Cooper. &#8230; <span class=\"more\"><a class=\"more-link\" href=\"https:\/\/blogs.cooperhealth.org\/ehealth\/2020\/01\/14\/cover-story-expert-guidance-for-pregnant-women-with-cancer\/\">[Read more&#8230;]<\/a><\/span><\/p>\n","protected":false},"author":7,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3,4],"tags":[],"class_list":{"0":"entry","1":"post","2":"publish","3":"author-rmineo","4":"post-9556","6":"format-standard","7":"category-ehealth-connection","8":"category-featured"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Cover Story: Expert Guidance for Pregnant Women with Cancer - eHealth Connection<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.cooperhealth.org\/ehealth\/2020\/01\/14\/cover-story-expert-guidance-for-pregnant-women-with-cancer\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Cover Story: Expert Guidance for Pregnant Women with Cancer - eHealth Connection\" \/>\n<meta property=\"og:description\" content=\"Discovering that you\u2019re pregnant and that you have cancer is a study in contrasts\u2014it\u2019s the happiest time in many women\u2019s lives combined with one of the darkest and most terrifying. \u201cIn the midst of the joy of pregnancy there\u2019s this frightening diagnosis,\u201d says Generosa Grana, MD, Director of the MD Anderson Cancer Center at Cooper. ... 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