Department of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, CT, USA.
Department of Medical Oncology, Yale School of Medicine, New Haven, CT, USA.
Abdom Radiol (NY). 2023 May;48(5):1740-1751. doi: 10.1007/s00261-022-03796-8. Epub 2023 Jan 31.
Melanoma is one of the most common types of cancer diagnosed during pregnancy. Patients with advanced disease require frequent staging examinations (e.g., CT, PET, MRI, ultrasound), which, during pregnancy must be modified from routine protocol to minimize risk to the fetus. We will review the diagnostic and treatment approach to pregnant patients with melanoma, with a discussion and pictorial examples of imaging protocol modifications, and the appearance of metastatic melanoma on radiology exams using modified protocols due to pregnancy.
黑色素瘤是怀孕期间最常见的癌症类型之一。患有晚期疾病的患者需要频繁进行分期检查(例如 CT、PET、MRI、超声),但在怀孕期间,这些检查必须根据常规方案进行修改,以将对胎儿的风险降至最低。我们将回顾孕妇黑色素瘤的诊断和治疗方法,讨论和举例说明影像学方案修改,并讨论由于怀孕而使用修改后的方案在影像学检查中出现转移性黑色素瘤的情况。