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恶性淋巴瘤:生育年龄及孕期的影响

Malignant lymphoma: implications during the reproductive years and pregnancy.

作者信息

Sweet D L

出版信息

J Reprod Med. 1976 Oct;17(4):198-208.

PMID:978652
Abstract

The malignant lymphomas are reviewed, and involvement of urogenital-ridge derivatives, including the reproductive organs, is summarized. Implications of therapy for pelvic lymphoma are discussed. It is shown by a retrospective analysis that Hodgkin's disease has little effect on fertility, the course of gestation, delivery or fetal wastage and that maternal death is not increased. No adverse effect of pregnancy on the symptoms or longevity of women with Hodgkin's disease can be demonstrated. Women diagnosed in pregnancy as having lymphoma should undergo therapeutic abortion so that proper staging and therapy may be given. Pregnancies over 32 to 34 weeks should be induced. Women previously treated for lymphoma may become infertile as a result of therapy. Those not infertile after therapy should avoid pregnancies since there is a potential risk of malformations and malignancies in the offspring.

摘要

本文回顾了恶性淋巴瘤,并总结了泌尿生殖嵴衍生物(包括生殖器官)的受累情况。讨论了盆腔淋巴瘤治疗的意义。一项回顾性分析表明,霍奇金病对生育能力、妊娠过程、分娩或胎儿流产影响很小,且不会增加孕产妇死亡率。未发现妊娠对霍奇金病女性的症状或生存期有不良影响。孕期被诊断为淋巴瘤的女性应接受治疗性流产,以便进行适当的分期和治疗。孕周超过32至34周的应引产。先前接受过淋巴瘤治疗的女性可能会因治疗而不孕。治疗后未不孕的女性应避免怀孕,因为后代存在畸形和恶性肿瘤的潜在风险。

相似文献

1
Malignant lymphoma: implications during the reproductive years and pregnancy.恶性淋巴瘤:生育年龄及孕期的影响
J Reprod Med. 1976 Oct;17(4):198-208.
2
[Hodgkin's disease in the malignant lymphoma category atypical clinical aspects].[恶性淋巴瘤范畴内霍奇金病的非典型临床特征]
Minerva Med. 1975 Feb 3;66(8):379-90.
3
[Value of lymphography, computer tomography and ultrasound in the diagnosis of infradiaphragmatic malignant lymphomas in children].[淋巴造影、计算机断层扫描及超声在儿童膈下恶性淋巴瘤诊断中的价值]
Monatsschr Kinderheilkd. 1985 Nov;133(11):823-7.
4
Malignant lymphoma: an update on diagnosis, staging, and management.恶性淋巴瘤:诊断、分期及治疗的最新进展
Prim Care. 1980 Sep;7(3):409-22.
5
[Therapy of malignant lymphomas].
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6
Whole-body radiogallium scanning for staging of Hodgkin's disease and other lymphomas.用于霍奇金病及其他淋巴瘤分期的全身放射性镓扫描。
Natl Cancer Inst Monogr. 1973 May;36:277-85.
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Placental involvement by maternal non-Hodgkin's lymphoma.母亲非霍奇金淋巴瘤累及胎盘。
Arch Pathol Lab Med. 1993 Mar;117(3):325-7.
8
[Cervical adenopathies of malignant lymphomas and especially Hodgkin's disease].[恶性淋巴瘤尤其是霍奇金病的颈部淋巴结病]
Acta Chir Belg. 1983 Mar-Apr;83(2):107-13.
9
Oncology patients pose challenge in choosing birth control method.肿瘤患者在选择避孕方法方面存在挑战。
Contracept Technol Update. 1985 Apr;6(4):66-8.
10
Hodgkin's and non-Hodgkin's lymphomas.霍奇金淋巴瘤和非霍奇金淋巴瘤。
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