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Gastrointestinal malignancies in pregnancy.

Melina Pectasides1, Aarti Sekhar2, Manjiri K Dighe3

  • 1Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, GA, USA. melina.pectasides@emory.edu.

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|January 6, 2023
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Diagnosing and treating gastrointestinal cancers in pregnant patients requires careful imaging modifications to protect the fetus. This review details safe imaging techniques and common GI cancers during pregnancy.

Keywords:
GI cancerGastric tumorsPancreatic tumorsPregnancy

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Area of Science:

  • Oncology
  • Radiology
  • Obstetrics

Background:

  • Gastrointestinal malignancies during pregnancy are rare but pose diagnostic and therapeutic challenges.
  • Imaging pregnant patients with suspected GI cancer necessitates modified approaches to ensure fetal safety and diagnostic accuracy.

Purpose of the Study:

  • To outline the imaging approach for pregnant patients with gastrointestinal cancer.
  • To review safe radiologic modalities and protocol modifications for imaging GI malignancies in pregnancy.
  • To discuss common GI cancers in pregnancy, including imaging findings, staging, and treatment.

Main Methods:

  • Literature review focusing on imaging modalities and protocols for pregnant patients with GI cancer.
  • Analysis of common gastrointestinal cancers encountered during pregnancy.
  • Emphasis on imaging findings, staging, and treatment considerations.

Main Results:

  • Modified imaging techniques are crucial for accurate diagnosis and staging in pregnant patients.
  • Specific radiologic modalities and protocols can minimize fetal radiation exposure.
  • Common GI cancers in pregnancy include colorectal, pancreatic, gastric, and small bowel tumors.

Conclusions:

  • A tailored imaging strategy is essential for managing GI malignancies in pregnant individuals.
  • Safe and effective imaging protocols can guide timely diagnosis and treatment decisions.
  • Understanding the nuances of GI cancers in pregnancy is vital for optimal patient care.