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Adjuvant Radiotherapy in a Pregnant Patient With Squamous Cell Carcinoma (SCC) of the Tongue: Importance of Fetal Dose Minimization

Serena Ramsammy

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School: Berea-Midpark High School
Internship Track: Radiology
Year 2018
Mentor: Ellen Stevens, RT (R)
Co-Mentor(s): Salim Balik, PhD; Zi Ouyang, PhD; Eric Murray, CMD; Shireen Parsai, MD; Martin Tom, MD; Neil Woody, MD
Department(s): Radiation Oncology
Abstract: Coexistence between cancer and pregnancy is relatively uncommon; however, there is an increasing prevalence in tongue cancer patients under age 40 and a delay in child-bearing to an older age. This unusual growth concerns many as to whether radiation can be safely administered. Fetal radiation exposure may result in various adverse effects, such as fetal microcephaly, growth restriction, cancer later in life, and neurological disorders. Our project sought to identify and demonstrate techniques to reduce the fetal dose to as low as reasonably achievable.