Title

Leukemia in pregnancy and fetal response to multiagent chemotherapy

Document Type

Article

Peer Reviewed

1

Publication Date

5-1-2001

NLM Title Abbreviation

Obstet Gynecol

Journal/Book/Conference Title

Obstetrics and gynecology

PubMed ID

11336761

Abstract

BACKGROUND: Leukemia is rare in pregnancy and treatment with intensive, multiagent chemotherapy produces complete remission in most adults, but might have deleterious effects on fetuses. CASE: A 24-year-old gravida 3 para 2 presented at 24 weeks with pruritus, rash, pancytopenia, and hepatitis. A bone marrow biopsy found acute lymphocytic leukemia. She completed three cycles of intensive multiagent chemotherapy with transient oligohydramnios in each cycle. Although there was decreased fetal growth rate, umbilical artery Doppler scans were normal. She delivered a normal 2150-g male infant at 36 weeks. CONCLUSION: Pregnant women with newly diagnosed leukemia should not delay treatment, but multiagent chemotherapy might have transient effects on fetuses, most notably oligohydramnios. However, if fetal testing is normal, delivery might not be indicated.

Keywords

Adult, Antineoplastic Combined Chemotherapy Protocols/pharmacology/therapeutic use, Female, Fetus/drug effects, Humans, Perinatal Care, Precursor Cell Lymphoblastic Leukemia-Lymphoma/drug therapy, Pregnancy, Pregnancy Complications, Neoplastic/drug therapy, Pregnancy Outcome

Published Article/Book Citation

Obstetrics and gynecology, 97:5 Pt 2 (2001) pp.809-812.

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URL

http://ir.uiowa.edu/obgyn_pubs/488