[High fetal irradiation: about one pregnant woman receiving infradiaphragmatic radiotherapy for Hodgkin lymphoma]

Date publication

décembre 2007

Auteurs

Membres identifiés du Cancéropôle Est :
Dr BOLOGNA Serge , Pr PEIFFERT Didier

Tous les auteurs :
Moreau MV, Brunaud C, Bologna S, Marchesi V, Hoffstetter S, Peiffert D

Lien Pubmed

https://www.ncbi.nlm.nih.gov/pubmed/17719816

Résumé

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.

Référence

Cancer Radiother. 2007 Dec;11(8):495-9