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CC BY-NC-ND 4.0 · Ann Natl Acad Med Sci 2023; 59(01): 049-054
DOI: 10.1055/s-0042-1758225
Case Report

Challenges with Adjuvant Radiation for Intracranial Chondrosarcoma in Pregnancy

Arun Yadav
1   Department of Radiotherapy and Oncology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
,
Shikha Goyal
1   Department of Radiotherapy and Oncology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
,
Renu Madan
1   Department of Radiotherapy and Oncology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
,
Ranjit Singh
1   Department of Radiotherapy and Oncology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
,
Aarti Chitkara
2   Department of Obstetrics and Gynecology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
,
Divya Khosla
1   Department of Radiotherapy and Oncology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
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Abstract

Background Managing a brain tumor during pregnancy is a highly confusing and challenging situation, complicated by several technical, medical, ethical, and sociocultural concerns. The interests of the mother and child are often pitted against each other, for which legal opinion may occasionally be needed.

Case Report We present the report of a young lady with intracranial well-differentiated chondrosarcoma who was determined to be pregnant in the immediate postoperative period. We discuss the management of challenges and dilemmas in devising optimum therapy, and the modifications and care required at each step to help safeguard maternal and fetal health. Risks with therapeutic radiation and measures to assess and pre-empt fetal doses that may assist decision-making are also discussed.

Conclusion Radiation therapy during pregnancy is challenging and requires multidisciplinary involvement and psychosocial support for the patient and family.

Keywords

brain neoplasms - chondrosarcoma - radiation therapy - pregnancy complications - teratogenesis

Ethical Approval

All procedures performed were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.


Author Contributions

A.K.Y. contributed to concept, design, definition of intellectual content, literature search, data acquisition, data analysis, statistical analysis, manuscript preparation, and manuscript review. S.G. and R.M. were involved in concept, design, definition of intellectual content, literature search, clinical studies, data acquisition, data analysis, statistical analysis, manuscript preparation, manuscript editing, and manuscript review. R.S., A.C., and D.K. helped in definition of intellectual content, data acquisition, and manuscript review.




Publication History

Article published online:
06 February 2023

© 2023. National Academy of Medical Sciences (India). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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