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ABSTRACT: Pregnancy and radiation
The risk of foetal irradiation during pregnancy is discussed.
It seems that, due to the low level of X-ray exposure to the
foetus, neither diagnostic radiography nor nuclear diagnostic
examination justifies termination of pregnancy.
Radiotherapy
for breast cancer, Hodgkin's disease and cervical cancer in pregnant
women is reviewed.Radiation therapy for breast cancer is not
an absolute contraindication for pregnancy and the risk-benefit
assessment should be discussed with the mother.
The risk to the
foetus duning radiotherapy for supradiaphragmatic Hodgkin's disease
appears to be minimal, provided special attention is paid to
the treatment techniques and the foetus is adequately shielded.
Radiotherapy for the treatment of cervical cancer may be necessary
during pregnancy, but the timing should be adjusted taking into
consideration gestational age.Offspring of cancer patients who
were treated by radiotherapy appear to be at little risk of childhood
cancer or birth defects. Cancer patients should not be discouraged
from having children and can expect a good outcome of pregnancy.
However, in the non-pregnant woman, to further reduce any risk
it is advisable to delay pregnancy for 12 months following completion
of radiation therapy.
03/22/2001; Cancer Treatment Reviews
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