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[Radiotherapy during pregnancy].

R Mazeron1, I Barillot2, F Mornex3

  • 1Département d'oncologie-radiothérapie, Gustave-Roussy Cancer Campus, 114, rue Édouard-Vaillant, 94805 Villejuif, France; Université Paris-Sud, membre de l'université Paris Saclay, 15, rue Georges-Clemenceau, 91400 Orsay, France.

Cancer Radiotherapie : Journal De La Societe Francaise De Radiotherapie Oncologique
|August 15, 2016
PubMed
Summary
This summary is machine-generated.

Diagnosing cancer during pregnancy requires careful consideration of treatments due to fetal sensitivity to radiation. Subdiaphragmatic radiotherapy is possible, with fetal dose monitoring crucial.

Keywords:
Dose measurementsFetusFœtusGrossesseMesures de dosePregnancyRadiation techniquesRadiotherapyRadiothérapieTechniques d’irradiation

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Area of Science:

  • Oncology
  • Radiation Oncology
  • Maternal-Fetal Medicine

Background:

  • Cancer diagnosis during pregnancy presents unique challenges due to fetal sensitivity to radiation.
  • Treatment decisions must balance maternal health with fetal well-being.

Purpose of the Study:

  • To review the safety and feasibility of cancer treatments, particularly radiotherapy, during pregnancy.
  • To establish guidelines for minimizing fetal radiation exposure.

Main Methods:

  • Review of preclinical and clinical studies, primarily from radiation exposure accidents.
  • Utilizing phantom estimations and in vivo measurements to assess fetal dose.
  • Analysis of radiotherapy and imaging techniques for dose reduction.

Main Results:

  • Subdiaphragmatic radiotherapy is considered possible during pregnancy.
  • Fetal dose estimations and in vivo measurements are essential when radiotherapy is employed.
  • Techniques should aim to keep fetal dose below 0.1 Gy.

Conclusions:

  • Cancer treatment during pregnancy, especially radiotherapy, requires meticulous planning and dose monitoring.
  • Minimizing radiation exposure to the fetus is paramount.
  • Adherence to dose thresholds is critical for fetal safety.