Type:
Educational Exhibit
Keywords:
Obstetrics, Cancer, Radiation safety, Diagnostic procedure, Ultrasound, MR, Conventional radiography, Oncology, Obstetrics (Pregnancy / birth / postnatal period), Abdomen
Authors:
P. Lopez Sala1, N. Alberdi1, C. Saavedra Gutierrez1, L. A. De Llano Ibisate1, G. Unzue1, J. A. Fernández Gajardo2, G. Rodriguez Henao1, S. Gonzalez Iban1, T. Lage Vidal1; 1Pamplona/ES, 2Pamplona, Navarra/ES
DOI:
10.26044/ecr2019/C-0841
Background
[11,
8]
Cancer complicating pregnancy is a rare coexistence.
The incidence is approximately 1 in 1,000 pregnancies.
The most common cancers are those more frequently seen during the reproductive age of a woman: breast cancer,
cervical cancer,
Hodgkin’s disease,
malignant melanoma,
leukemias and trophoblastic disease.
In the future,
pregnancy-associated cancer will occur with increasing frequency because of the epidemiology of postponed motherhood,
and increasing incidence of cancer.
Knowing the incidences of the main cancers that arise during the pregnancy will help us to diagnose them at an early stage.
Most of the published series show that majority of the tumors during pregnancy are diagnosed in more advanced stages than in non-pregnant women.
Cancer during pregnancy is a challenge for the physician because it involves two persons,
the mother and the fetus.
The analysis of the situation should be done by a multidisciplinary care team,
including oncologists,
psychologists,
obstetricians,
radiologists and paediatricians. Despite the absence of strict guidelines,
the following optimal gold standards should always be followed:
- Try to benefit the mother’s life
- Try to protect the fetus from the harmful effects of ionizing radiation