Document Detail


Acute leukemia in pregnancy: transient neonatal myelosuppression after combination chemotherapy in the mother.
MedLine Citation:
PMID:  296785     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
An 18-year-old primagravida received combination chemotherapy with vincristine, prednisone, L-asparaginase, cyclophosphamide, daunomycin, 6-mercaptopurine and central nervous system (CNS) prophylaxis with intrathecal methotrexate and whole-brain irradiation for acute lymphoblastic leukemia (ALL) beginning in the 12th week of pregnancy. Therapy resulted in sustained complete remission of the leukemia and delivery of a normally developed female infant whose immediate neonatal course was complicated by transient severe bone marrow hypoplasia. Our experience confirms the reports of others that intensive chemotherapy can be administered in the last two trimesters of pregnancy without serious teratogenic complications. However, we conclude that such therapy may cause significant myelosuppression in the newborn.
Authors:
D B Okun; P K Groncy; L Sieger; K R Tanaka
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Medical and pediatric oncology     Volume:  7     ISSN:  0098-1532     ISO Abbreviation:  Med. Pediatr. Oncol.     Publication Date:  1979  
Date Detail:
Created Date:  1980-08-25     Completed Date:  1980-08-25     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7506654     Medline TA:  Med Pediatr Oncol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  315-9     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Antineoplastic Agents / administration & dosage,  adverse effects
Bone Marrow Diseases / etiology*
Drug Therapy, Combination
Female
Humans
Infant, Newborn
Infant, Premature, Diseases / etiology*
Leukemia, Lymphoid / complications*,  drug therapy
Maternal-Fetal Exchange*
Pregnancy
Pregnancy Complications, Hematologic*
Chemical
Reg. No./Substance:
0/Antineoplastic Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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