Successful pregnancy in a 28-year-old patient autografted for acute lymphoblastic leukemia following myeloablative treatment including total body irradiation.
We report a successful pregnancy in a woman who at the age of 28 years received total body irradiation (TBI; 7.5 Gy) and high-dose chemotherapy prior to autografting of purged bone marrow for acute lymphoblastic leukemia. Four years after transplantation she delivered a healthy girl. Only five previous cases of successful pregnancies are described in the literature after conditioning regimens including TBI. This case shows that restored ovarian function is possible after TBI in spite of prolonged exposure to chemotherapeutic agents during induction and consolidation therapy and relatively high age at the time of transplantation.
Samuelsson
A
A
Department of Medicine, Karolinska Hospital, Stockholm, Sweden.
Fuchs
T
T
Simonsson
B
B
Björkholm
M
M
D000328:Adult; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000009:adverse effects / Q000627:therapeutic use; D016026:Bone Marrow Transplantation; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D015459:Leukemia-Lymphoma, Adult T-Cell / Q000150:complications* / Q000601:surgery* / Q000628:therapy; D010053:Ovary / Q000187:drug effects / Q000502:physiology / Q000528:radiation effects; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic; D016649:Primary Ovarian Insufficiency / Q000209:etiology / Q000503:physiopathology; D013997:Time Factors; D014182:Transplantation, Autologous; D014916:Whole-Body Irradiation / Q000009:adverse effects