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急性白血病与妊娠

Acute leukemia and pregnancy.

作者信息

Feliu J, Juarez S, Ordoñez A, Garcia-Paredes M L, Gonzalez-Baron M, Montero J M

机构信息

Department of Internal Medicine, Cuidad Sanitaria La Paz, University Autonoma of Madrid, Spain.

出版信息

Cancer. 1988 Feb 1;61(3):580-4. doi: 10.1002/1097-0142(19880201)61:3<580::aid-cncr2820610326>3.0.co;2-h.

DOI:10.1002/1097-0142(19880201)61:3<580::aid-cncr2820610326>3.0.co;2-h
PMID:3422173
Abstract

Acute leukemia was diagnosed in five pregnant patients who received chemotherapy during the course of pregnancy. Three were undergoing chemotherapy at conception. One patient died in the fifth month of pregnancy and the anatomic study of the fetus was normal. Four babies had low birth weights at birth. Of the four one was born prematurely, but without malformations. Later development was normal. The results are reviewed and compared with data from the literature, leading to the conclusion that pregnancy is not an absolute contraindication for cytostatic treatment, except in the first trimester, in which cytostatic treatment should be avoided.

摘要

五名在孕期接受化疗的孕妇被诊断为急性白血病。三名在受孕时正在接受化疗。一名患者在怀孕第五个月时死亡,胎儿的解剖学研究正常。四名婴儿出生时体重低。这四名婴儿中有一名早产,但无畸形。后期发育正常。对结果进行了回顾,并与文献数据进行了比较,得出结论:除了在孕早期应避免进行细胞毒性治疗外,怀孕并非细胞毒性治疗的绝对禁忌证。

相似文献

1
Acute leukemia and pregnancy.急性白血病与妊娠
Cancer. 1988 Feb 1;61(3):580-4. doi: 10.1002/1097-0142(19880201)61:3<580::aid-cncr2820610326>3.0.co;2-h.
2
Acute leukemia during pregnancy: the Toronto Leukemia Study Group experience with long-term follow-up of children exposed in utero to chemotherapeutic agents.孕期急性白血病:多伦多白血病研究组对子宫内暴露于化疗药物的儿童进行长期随访的经验。
J Clin Oncol. 1987 Jul;5(7):1098-106. doi: 10.1200/JCO.1987.5.7.1098.
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Association of leukemia and pregnancy: clinical and obstetric aspects.白血病与妊娠的关联:临床与产科方面
Am J Clin Oncol. 1988 Apr;11(2):159-65. doi: 10.1097/00000421-198804000-00014.
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Hematological malignancy and pregnancy: a single-institution experience of 21 cases.血液系统恶性肿瘤与妊娠:一家机构的21例病例经验
Clin Lab Haematol. 2006 Jun;28(3):170-6. doi: 10.1111/j.1365-2257.2006.00781.x.
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Chemotherapy for acute leukemia during pregnancy. Five case reports.孕期急性白血病的化疗。五例报告。
Nouv Rev Fr Hematol (1978). 1984;26(1):19-24.
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Treatment of acute leukemia during pregnancy: presentation of nine cases.妊娠期急性白血病的治疗:9例病例报告
Cancer Treat Rep. 1980 Apr-May;64(4-5):679-83.
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Acute leukaemia during pregnancy.妊娠期间的急性白血病。
Lancet. 1988 Jun 18;1(8599):1404. doi: 10.1016/s0140-6736(88)92224-6.
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Acute myeloid leukemia and pregnancy: clinical experience from a single center and a review of the literature.急性髓系白血病与妊娠:单中心临床经验及文献综述
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[Cytostatic combination therapy in a pregnant patient with acute lymphatic leukemia].[一名急性淋巴细胞白血病孕妇的细胞毒性联合治疗]
Internist (Berl). 1985 Oct;26(10):652-6.
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Acute myelogenous leukemia in pregnancy: fetal blood sampling and early effects of chemotherapy.
Int J Gynaecol Obstet. 1994 Mar;44(3):273-7. doi: 10.1016/0020-7292(94)90178-3.

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