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Cancer presenting during pregnancy: radiological perspectives
S Doyle1, C Messiou, J M Rutherford
1Department of Radiology, Nottingham University Hospitals NHS Trust, Nottingham, UK. SDoyle76@aol.com
Clinical Radiology
|August 12, 2009
Summary
Malignancy during pregnancy is rare but presents unique challenges. This review details imaging strategies for pregnant patients, balancing fetal risks with diagnostic needs for maternal and fetal health.
Area of Science:
- Radiology
- Oncology
- Obstetrics
Background:
- Pregnancy-associated malignancy is uncommon.
- Physiological changes in pregnancy can mask cancer symptoms, delaying diagnosis.
- Hormonal and physiological shifts can influence tumor behavior.
Purpose of the Study:
- To outline general principles for imaging pregnant patients with suspected cancer.
- To discuss how pregnancy affects tumor biology and presentation.
- To provide evidence-based imaging recommendations for specific entities.
Main Methods:
- Review of general principles in imaging pregnant patients.
- Discussion of pregnancy's impact on tumor biology and presentation.
- Analysis of imaging strategies for various cancer types.
Main Results:
- Pregnancy can alter cancer presentation and growth patterns.
- Imaging choices require careful consideration of fetal risks versus diagnostic necessity.
- Specific imaging recommendations are provided for different malignancies.
Conclusions:
- Radiologists face unique challenges when imaging malignancy in pregnancy.
- A balanced approach is crucial, weighing risks to mother and fetus.
- Effective imaging strategies are vital for timely diagnosis and management.
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