Radiation
When considering diagnostic imaging tests or radiation in pregnancy, the goal is stay below this threshold of exposure (in mGy).
What is less than 100 mGy?
This part of a routine colposcopy should not be performed during pregnancy.
What is an ECC?
This is the most common TYPE of ovarian cancer diagnosed during pregnancy.
What is a germ cell tumor? (dysgerminoma)
Chemotherapy is usually discontinued at least 2-3 weeks before delivery to prevent this bone marrow toxicity for both the fetus and the pregnant person.
What is neutropenia?
This is the ideal timing of surgery in pregnancy.
What is the second trimester?
This is the approximate mGy dose to the fetus with a CT abd/pelvis.
What is 30mGy?
This is the recommend route of delivery with a visible cervical tumor.
What is a c/s?
Borderline tumors account for this % of ovarian malignancies diagnosed during pregnancy.
What is 25-30%?
True or False. There is an increased risk of chromosomal abnormalities and congenital malformations if a patient becomes pregnant several years after receiving chemotherapy.
What is False?
Gestational breast cancer is defined as occurring within this time frame.
What is during pregnancy or 1 year following?
Exposure of a pregnancy to ionizing radiation during organogenesis (weeks 4-10) is likely to result in this.
What is IUGR or congenital malformations?
24 yo G1 @ 16 weeks with Stage IB1 cervical cancer. It was diagnosed on a LEEP done at 14 weeks. It is a desired pregnancy. You perform a pelvic LND and findings are negative. Options for her include delaying treatment until after delivery or this surgical procedure.
What is a simple trachelectomy or conization?
This is the preferred chemotherapy regimen for ovarian cancer in a pregnant person.
What is carbo/taxol?
This is the ideal window to administer chemotherapy during pregnancy.
What is 14-35wks?
This chemotherapeutic agent is used in the management of abnormal pregnancy and is contra-indicated in a desired pregnancy.
What is methotrexate?
Exposure of a pregnancy to ionizing radiation during implantation (weeks 2-4) will result in one of these 2 scenarios.
What is SAB or no effect?
24 with Stage IB2 cervical cancer at 18 weeks. Pelvic LN dissection is negative. Chemotherapy is recommended. The chemo regimen is this.
What is carboplatin and paclitaxel
The incidence of congenital malformation if chemotherapy is administered to women in 2nd or 3rd trimesters.
What is LOW. 1.3% risk of fetal malformation with 2nd or 3rd trimester chemotherapy exposure. 16% risk of malformation in 1st trimester.
This the most likely consequence of platinum exposure during the second trimester.
What is IUGR / small for gestational age?
This is the most common maternal malignancy to spread to the fetus or placenta.
What is melanoma?
Ultrasound and this other imaging modality can be used at any gestation age.
What is MRI?
24 yo at 26 weeks gestation with Stage Ib1 cervical cancer. Options for treatment include neoadjuvant chemotherapy or this. She desires to continue the pregnancy.
What is delay treatment until after delivery?
True or false: Avastin can be given in pregnancy.
What is false - teratogen, causes IUGR
After delivery, breastfeeding should be delayed for this long after chemotherapy.
What is 3 weeks?
True or false. Herceptin can be safely administered during pregnancy.
What is false. Can lead to severe oligo.