Document Detail


Maternal and fetal outcomes in pregnancy complicated with acute leukemia: a single institutional experience with 10 pregnancies at 16 years.
MedLine Citation:
PMID:  12620288     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The incidence of acute leukemia in pregnancy is low and the management of acute leukemia during pregnancy is difficult. We have observed a total of 10 pregnancies in 8 patients. Six of the patients had acute myeloblastic leukemia (AML) and two of them had acute lymphoblastic leukemia (ALL). Three of the pregnancies were diagnosed when the leukemia was in remission, six at the time of leukemia diagnosis and one at the time of leukemic relapse. Six of the pregnancies were found in first trimester, three in the second and one early in the third. Three pregnancies ended with spontaneous abortion, three with intrauterine death and three with medical termination. One of spontaneous abortions and one intrauterine death developed during combination chemotherapy (daunorubicin, cytarabine). Only 1 healthy baby survived from the 10 pregnancies and this child was the not exposed to chemotherapeutic agents. None of the cases had gynecologic and obstetric complications. Five of eight pregnant women with leukemia died because of the primary disease.
Authors:
Ridvan Ali; Fahir Ozkalemkaş; Tülay Ozçelik; Vildan Ozkocaman; Ulkü Ozan; Yalçin Kimya; Ahmet Tunali
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Leukemia research     Volume:  27     ISSN:  0145-2126     ISO Abbreviation:  Leuk. Res.     Publication Date:  2003 May 
Date Detail:
Created Date:  2003-03-06     Completed Date:  2003-04-22     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7706787     Medline TA:  Leuk Res     Country:  England    
Other Details:
Languages:  eng     Pagination:  381-5     Citation Subset:  IM    
Affiliation:
Division of Haematology, Department of Internal Medicine, Uludag University School of Medicine, Uludag University Hospital, Bursa, Turkey. ridvanali@uludag.edu.tr
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MeSH Terms
Descriptor/Qualifier:
Abortion, Spontaneous / epidemiology
Abortion, Therapeutic
Acute Disease
Adult
Antineoplastic Combined Chemotherapy Protocols / adverse effects,  therapeutic use
Cytarabine / administration & dosage
Daunorubicin / administration & dosage
Fatal Outcome
Female
Fetal Death / chemically induced,  epidemiology
Follow-Up Studies
Gestational Age
Humans
Infant, Newborn
Leukemia, Myeloid / epidemiology*
Male
Precursor Cell Lymphoblastic Leukemia-Lymphoma / epidemiology*
Pregnancy
Pregnancy Complications, Neoplastic / epidemiology*
Pregnancy Outcome*
Retrospective Studies
Turkey / epidemiology
Chemical
Reg. No./Substance:
147-94-4/Cytarabine; 20830-81-3/Daunorubicin

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


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