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妊娠合并淋巴瘤的影像学评估:临床评估和治疗选择的复习。

Imaging evaluation of lymphoma in pregnancy with review of clinical assessment and treatment options.

机构信息

New York Institute of Technology College of Osteopathic Medicine, Old Westbury, NY, USA.

Department of Radiology, University of New Mexico, Albuquerque, NM, USA.

出版信息

Abdom Radiol (NY). 2023 May;48(5):1663-1678. doi: 10.1007/s00261-022-03779-9. Epub 2023 Jan 3.

DOI:10.1007/s00261-022-03779-9
PMID:36595067
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9808767/
Abstract

Lymphoma-related malignancies can be categorized as Hodgkin's lymphoma (HL) or non-Hodgkin's lymphoma (NHL) based on histologic characteristics. Although quite rare during pregnancy, HL and NHL are the fourth and fifth most common malignancies during the pregnancy period, respectively. Given the rarity of lymphoma among pregnant patients, radiologists are usually unfamiliar with the modifications required for staging and treatment of this population, even those who work at centers with busy obstetrical services. Therefore, this manuscript serves to not only review the abdominopelvic imaging features of lymphoma in pregnancy, but it also discusses topics including birthing parent and fetal lymphoma-related prognosis, both antenatal and postpartum, current concepts in the management of pregnancy-related lymphoma, as well as the current considerations regarding birthing parent onco-fertility.

摘要

淋巴瘤相关恶性肿瘤可根据组织学特征分为霍奇金淋巴瘤(HL)或非霍奇金淋巴瘤(NHL)。尽管在怀孕期间非常罕见,但 HL 和 NHL 分别是妊娠期间第四和第五最常见的恶性肿瘤。鉴于妊娠患者中淋巴瘤的罕见性,放射科医生通常不熟悉对该人群进行分期和治疗所需的修改,即使是在有繁忙产科服务的中心工作的医生也是如此。因此,本文不仅回顾了妊娠期间淋巴瘤的腹盆腔影像学特征,还讨论了包括母婴和胎儿淋巴瘤相关预后、产前和产后、妊娠相关淋巴瘤管理的当前概念以及母婴肿瘤生育力的当前考虑因素等主题。

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