Department of Radiology,the First Affiliated Hospital of Nanjing Medical University,Nanjing 210029 ,China
Clc Number:
R814.42
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Abstract:
Objective:To evaluate the relationship between pregnancy and the growth of ground glass nodules(GGNs)through a single-center retrospective cohort analysis. Methods:Clinical and radiologic data of 44 pregnant women who underwent pre-and post- pregnancy chest CT scans due to pulmonary GGNs were retrospectively reviewed. Based on imaging characteristics,the GGNs were divided into the pure GGNs(PGGNs),heterogeneous GGNs(HGGNs),and part solid nodules(PSN). The size of a GGN was determined as the maximum diameter in axial chest CT images,and the observation interval was the time between pre - and post - pregnancy chest CT scans. Growth of a GGN was defined as an increase of 2 mm in the maximum diameter,an increase of 2 mm in the solid composnent,or the appearance of new solid component. Results:Among the 44 pregnant women,70 GGNs were detected, including 66 PGGNs and 4 HGGNs. Of these,43 GGNs had a diameter of < 6 mm,22 were between 6.0 and 7.9 mm,4 were between 8.0 and 9.9 mm,and 1 GGN was ≥10 mm. No growth of pulmonary GGNs was observed at a median observing interval of 779 days (ranging from 337 to 2 795 days). Conclusion:Pregnancy is unlikely to cause the growth of pulmonary PGGNs with a small diameter. Therefore,women of child-bearing age who plan to become pregnant need not be overly concerned about the growth of such GGNs.