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While malignancies in women of reproductive age are relatively uncommon, they are, after accidents, the most common cause of death in women aged 20-39 in the USA. Malignant melanoma was the most frequently diagnosed cancer occurring in pregnancy, followed by cervical cancer and breast cancer, reflecting the high melanoma risk in the fair-skinned Swedish population. The incidence of melanoma increases steadily from the age of 20 years and thus is a relatively common cancer in women during their reproductive years and is more common than breast cancer in the under-30s. Thyroid cancer is 2.5 times more common in women than men and the incidence varies between different populations owing to genetic and environmental factors. Gestation trophoblastic neoplasia is a malignancy intimately related to pregnancy. Improved data could be obtained by the central population-based registries formally collecting data on cancer during pregnancy.
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