The incidence of breast cancer, lymphomas and melanomas in increasing in young women. In Italy, cancer incidence in women from 15 to 39 years is 94.5/100.000 which accounts for almost 9.400 new cases each year. Approximately 1/1.000 pregnancies are complicated by cancer and given the rising trend of delaying pregnancy to later in life, and being age a risk factor for tumors, more women are now diagnosed with cancer during the course of pregnancy. When cancer and pregnancy occurs concomitantly, poena magna arises. Clinical, relational, ethical issues must be managed with extreme care, with the aim of optimally treat the mother without harming the fetus. This is indeed a challenge, given the relative rarity of the situation which makes the conduction of large scale studies very difficult. Within the European Society of Gynecologic Oncology (ESGO), the Cancer in Pregnancy Task force has actively promoted a registry of new cases and explored a number of issues about the best treatment of any given tumor arising during pregnancy. In 2009 an International Consensus paper has been published on diagnosis and treatment of gynecological cancers during pregnancy and in 2010 another Consensus paper has been published on diagnosis and treatment of breast cancer during pregnancy. Many different issues will be discussed during our two days meeting: attendees will have the unique opportunity to share their thoughts with epidemiologists, biologists, immunologists, radiologists, obstetricians, neonatologists, gynecologic oncologists, surgeons, medical oncologists, radiation oncologists, hematologists, psychologists and reproductive endocrinologists. All the Invited Speakers of this meeting have an extraordinary publication track and have been actively involved in the treatment of cancer during pregnancy in the last 15 years. After the Conference, a special issue of Cancer Treatment Reviews will set the point of “what is new” on cancer and pregnancy. A warm thank to Fondazione Menarini, to ESGO, to AIOM, to Fondazione IEO and to IEO for the enthusiasm and support to this initiative. Without you the Cancer and Pregnancy symposium would have remained in my dreams. Enjoy the course, be active in the discussion, feel free to ask and do not be afraid to criticize speaker’s opinion. Ad maiora!
Fedro A. Peccatori Co-President of the Meeting