Irradiation fœtale élevée: à propos d'une femme dont la grossesse était méconnue irradiée en sous-diaphragmatique pour un lymphome hodgkinien

Autor: S. Hoffstetter, M.V. Moreau, Vincent Marchesi, S. Bologna, C. Brunaud, Didier Peiffert
Rok vydání: 2007
Předmět:
Zdroj: Cancer/Radiothérapie. 11:495-499
ISSN: 1278-3218
DOI: 10.1016/j.canrad.2007.07.004
Popis: We report the case of a 19-year-old young woman for whom was discovered a pregnancy at the end of the irradiation for a Hodgkin lymphoma (stage IV bone Bb), initially treated by chemotherapy. The radiotherapy delivered 36 Gy in infra-diaphragmatic volumes (lombo-aortic, spleen, L5), beginning in a pregnant patient for less than 4 amenorrhea weeks. The calculated received fetal dose (literature data, measurement with software TPS, measurement on phantom) is high: it's between 2.8 and 5 Gy. With a current follow-up of 4 years since the radiotherapy's end, the patient is in complete remission and her child presents with a normal development for the age, in spite of the infradiaphragmatic irradiation.
Databáze: OpenAIRE