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妊娠期淋巴瘤和白血病的评估与管理

Evaluation and management of lymphoma and leukemia in pregnancy.

作者信息

Cohen Jonathon B, Blum Kristie A

机构信息

Department of Internal Medicine, Division of Hematology, The Arthur G. James Comprehensive Cancer Center and The Ohio State University, Columbus, Ohio, USA.

出版信息

Clin Obstet Gynecol. 2011 Dec;54(4):556-66. doi: 10.1097/GRF.0b013e318236e68a.

Abstract

Cancer complicates roughly 1 in 1000 pregnancies with roughly 18% of these cases represented by the hematologic malignancies. These can range from an indolent lymphoma requiring only close monitoring to acute, life-threatening, processes requiring emergent therapy, and evaluation for potential termination of the pregnancy. Management of a pregnant woman with a hematologic malignancy requires a multidisciplinary approach combining the expertise of hematologists, obstetricians, and perinatologists to accomplish the best possible outcome. Many women are able to be treated successfully and deliver healthy babies.

摘要

癌症使大约千分之一的妊娠情况变得复杂,其中约18%的病例由血液系统恶性肿瘤引起。这些病例的严重程度各不相同,从只需密切监测的惰性淋巴瘤到需要紧急治疗以及评估是否可能终止妊娠的急性、危及生命的病症。对患有血液系统恶性肿瘤的孕妇进行管理需要多学科方法,结合血液科医生、产科医生和围产医学专家的专业知识,以实现尽可能好的结果。许多女性能够成功接受治疗并生下健康的婴儿。

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