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26例妊娠合并血液系统恶性肿瘤患者的临床分析及文献复习

Clinical Analysis and Literature Review of 26 Patients with Hematological Malignancies During Pregnancy.

作者信息

Ma Jie, Zhu Huimin, Li Ling, Ma Hui, Zheng Bo

机构信息

Department of Hematology, General Hospital of Ningxia Medical University, Yinchuan City, China.

Ningxia rehabilitation medical center, People's Hospital of Ningxia Hui Autonomous Region, Yinchuan City, China.

出版信息

Womens Health Rep (New Rochelle). 2025 Feb 3;6(1):147-154. doi: 10.1089/whr.2024.0164. eCollection 2025.

DOI:10.1089/whr.2024.0164
PMID:40678380
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12270522/
Abstract

BACKGROUND

The hematological malignancies during pregnancy are rare and lethal.

OBJECTIVE

The aim of this study is to demonstrate the incidence, clinical characteristics, treatment, and outcome of hematological malignancies diagnosed during pregnancy.

METHODS

This is a retrospective study of women who were diagnosed with hematological malignancies during pregnancy at an academic hospital between 2001 and 2021.

RESULTS

The incidence rate of 26 pregnant women with hematological malignancies in the pregnant patients admitted to the hospital was about 0.07%. Except for one patient who was diagnosed before pregnancy, the incidence rates of the first, second, and third trimesters of pregnancy were 12% (3/25), 48% (12/25), and 40% (10/25), respectively. Eleven out 26 patients (42.3%) finally gave birth to fetuses. In a long-term follow-up, the survival time of patients with leukemia in pregnancy was shorter than lymphoma ( < 0.05).

CONCLUSION

This report provides a comprehensive description of maternal and infant outcomes and insights into the management of hematological malignancies during pregnancy.

摘要

背景

孕期血液系统恶性肿瘤罕见且致命。

目的

本研究旨在阐明孕期诊断出的血液系统恶性肿瘤的发病率、临床特征、治疗及结局。

方法

这是一项对2001年至2021年期间在一家学术医院孕期被诊断为血液系统恶性肿瘤的女性进行的回顾性研究。

结果

在入院的孕妇中,26例患有血液系统恶性肿瘤的孕妇发病率约为0.07%。除1例在妊娠前被诊断外,妊娠第一、第二和第三孕期的发病率分别为12%(3/25)、48%(12/25)和40%(10/25)。26例患者中有11例(42.3%)最终产下胎儿。在长期随访中,孕期白血病患者的生存时间短于淋巴瘤患者(<0.05)。

结论

本报告全面描述了母婴结局,并为孕期血液系统恶性肿瘤的管理提供了见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45c0/12270522/4f7d3f75578d/whr.2024.0164_figure1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45c0/12270522/4f7d3f75578d/whr.2024.0164_figure1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45c0/12270522/4f7d3f75578d/whr.2024.0164_figure1.jpg

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本文引用的文献

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[Diagnosis and treatment of acute leukemia during pregnancy].[妊娠期急性白血病的诊断与治疗]
Zhonghua Xue Ye Xue Za Zhi. 2022 Jan 14;43(1):82-86. doi: 10.3760/cma.j.issn.0253-2727.2022.01.020.
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Cancer and Pregnancy: A Comprehensive Review.癌症与妊娠:综述
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Management of chronic myeloid leukemia during pregnancy among patients treated with a tyrosine kinase inhibitor: a single-Center experience.酪氨酸激酶抑制剂治疗的慢性髓性白血病患者妊娠期间的管理:单中心经验。
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Tyrosine kinase inhibitors and pregnancy in chronic myeloid leukemia: opinion, evidence, and recommendations.酪氨酸激酶抑制剂与慢性髓性白血病患者的妊娠:观点、证据及建议
Ther Adv Hematol. 2020 Oct 31;11:2040620720966120. doi: 10.1177/2040620720966120. eCollection 2020.
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Acute Promyelocytic Leukemia during Pregnancy: A Systematic Review of the Literature.孕期急性早幼粒细胞白血病:文献系统综述
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[Treatment of acute promyelocytic leukemia during pregnancy].[妊娠期急性早幼粒细胞白血病的治疗]
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Planned Pregnancy in Female Patients with Chronic Myeloid Leukemia Receiving Tyrosine Kinase Inhibitor Therapy.计划妊娠的女性慢性髓性白血病患者接受酪氨酸激酶抑制剂治疗。
Oncologist. 2019 Nov;24(11):e1141-e1147. doi: 10.1634/theoncologist.2019-0109. Epub 2019 Jun 11.
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Current treatment of lymphoma in pregnancy.妊娠合并淋巴瘤的治疗现状。
Expert Rev Hematol. 2019 Jun;12(6):449-459. doi: 10.1080/17474086.2019.1615878. Epub 2019 May 20.