Hematologic malignancies in pregnancy.
Hematologic malignancies complicating pregnancy are uncommon, but a delay in diagnosis or treatment can mean the difference between life and death. It is the responsibility of the obstetrician, nurse-midwife, or nurse practitioner to maintain a high index of suspicion when patients present with unexplained lymphadenopathy or protracted constitutional symptoms. Management of these patients requires a multifaceted team from the oncology, pediatrics, and obstetrics services. With most hematologic cancers now requiring multiagent chemotherapy for optimal survival, the patient, her family, and her physicians are often faced with what seems to be a Faustian dilemma. Most infants exposed in utero to multiagent chemotherapy, however, seem to suffer no long-term detrimental consequences.
Hurley
Timothy J
TJ
Division of Maternal and Fetal Medicine, Department of Obstetrics and Gynecology, University of New Mexico Health Science Center, 2211 Lomas Boulevard, Albuquerque, NM 87131, USA. thurley@salud.unm.edu
McKinnell
James V
JV
Irani
Mehraboon S
MS
D005260:Female; D006801:Humans; D007938:Leukemia / Q000175:diagnosis / Q000628:therapy*; D008223:Lymphoma / Q000175:diagnosis / Q000628:therapy*; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000175:diagnosis / Q000628:therapy*