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Published on: February 1, 2018
[Cancer diagnosed during pregnancy]
Erja Halmesmäki1, Ulla Puistola
1HYKS, naistenklinikka.
Summary
Cancer affects about 1 in 1,000 pregnancies, with melanoma, cervical, and breast cancers being most common. Imaging like MRI is recommended, while abdominal CT scans should be avoided during pregnancy.
Area of Science:
- Oncology
- Radiology
- Obstetrics
Background:
- Cancer during pregnancy is a rare but significant clinical challenge.
- Common cancers include melanoma, cervical, and breast cancer.
- Accurate diagnosis and management are crucial for maternal and fetal well-being.
Purpose of the Study:
- To review diagnostic imaging modalities for cancer in pregnant patients.
- To outline management principles for cancer diagnosed during pregnancy.
- To discuss the safety and efficacy of treatment options.
Main Methods:
- Literature review of studies on cancer in pregnancy.
- Analysis of radiological guidelines for pregnant patients.
- Evaluation of chemotherapy protocols during gestation.
Main Results:
- Magnetic resonance imaging (MRI) is recommended for radiological examination.
- Mammography and chest radiography are permissible imaging techniques.
- Computed tomographic (CT) scanning of the abdomen is generally contraindicated.
Conclusions:
- Cancer diagnosis in pregnancy requires careful consideration of imaging safety.
- Treatment timing and modality, including chemotherapy, must be individualized.
- Prognosis depends on cancer stage, type, and timely intervention.
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