Successful Pregnancy and Delivery in a Patient with Chronic Myelogenous Leukemia (CML), and Management of CML with Leukapheresis during Pregnancy: a Case Report and Review of the Literature

Although infrequently seen, the management of cancer during pregnancy can be difficult for patients, their families and physicians. The concomitant occurrence of pregnancy and chronic myelogenous leukemia is uncommon. We describe the successful management of a 26-year-old woman in the first trimeste...

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Veröffentlicht in:Japanese journal of clinical oncology 2004-04, Vol.34 (4), p.215-217
Hauptverfasser: Ali, Ridvan, Özkalemkas, Fahir, Özkocaman, Vildan, Özçelik, Tülay, Ozan, Ülkü, Kimya, Yalçin, Tunali, Ahmet
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container_end_page 217
container_issue 4
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container_title Japanese journal of clinical oncology
container_volume 34
creator Ali, Ridvan
Özkalemkas, Fahir
Özkocaman, Vildan
Özçelik, Tülay
Ozan, Ülkü
Kimya, Yalçin
Tunali, Ahmet
description Although infrequently seen, the management of cancer during pregnancy can be difficult for patients, their families and physicians. The concomitant occurrence of pregnancy and chronic myelogenous leukemia is uncommon. We describe the successful management of a 26-year-old woman in the first trimester of her pregnancy with chronic myelogenous leukemia (CML) in chronic phase by using only leukapheresis. She was treated with leukapheresis until her delivery at 36 weeks of gestation. The procedure was without significant adverse effects on the patient or fetus. We applied a total of 15 leukapheresis treatments throughout the pregnancy. The patient gave birth vaginally to a healthy 2800 g boy at 36 weeks of gestation. We conclude that leukapheresis may provide an alternative treatment to chemotherapy, α-interferon or imatinib in pregnant patients with CML, particularly with concern over their potential teratogenic and other adverse effects.
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identifier ISSN: 0368-2811
ispartof Japanese journal of clinical oncology, 2004-04, Vol.34 (4), p.215-217
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source Oxford University Press Journals All Titles (1996-Current); MEDLINE; Freely Accessible Japanese Titles; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Adult
Delivery, Obstetric
Female
Humans
Key words: chronic myelogenous leukemia – pregnancy – leukapheresis
Leukapheresis - methods
Leukemia, Myelogenous, Chronic, BCR-ABL Positive - therapy
Pregnancy
Pregnancy Complications, Neoplastic - therapy
title Successful Pregnancy and Delivery in a Patient with Chronic Myelogenous Leukemia (CML), and Management of CML with Leukapheresis during Pregnancy: a Case Report and Review of the Literature
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