Maloisel F, Dreyfus M, Neuhart D, Ritter J, Oberling F
Service d'Onco-Hématologie, Hôpitaux Universitaires de Strasbourg, Hôpital de Hautepierre, Strasbourg.
J Gynecol Obstet Biol Reprod (Paris). 1996;25(6):602-7.
Hodgkin's disease, non-Hodgkin lymphoma or leukemia occurring in a pregnant patient is a rare event. Diagnosis of hematologic malignancies in a pregnant woman usually poses a quandrum of psychological, ethical and medical considerations. All of these situations require a multidisciplinary team. Adequate staging and treatment of hematologic malignancies are complicated by the pregnancy. In the first trimester, termination of the pregnancy should be considered in order to provide the best outcome for the woman and fetus. In this review we have focused on the use of chemotherapy for the pregnant patient. This review reveals that the use of chemotherapy resulted in both objective disease remissions and the subsequent delivery of normal infant.
霍奇金淋巴瘤、非霍奇金淋巴瘤或白血病发生在孕妇身上是罕见事件。孕妇血液系统恶性肿瘤的诊断通常会带来心理、伦理和医学考量方面的难题。所有这些情况都需要多学科团队。血液系统恶性肿瘤的充分分期和治疗因怀孕而变得复杂。在孕早期,应考虑终止妊娠,以便为孕妇和胎儿提供最佳结果。在本综述中,我们重点关注了化疗在孕妇中的应用。该综述表明,化疗的使用既带来了客观的疾病缓解,随后又有正常婴儿的分娩。