Acute myeloid leukemia in the pregnant patient.

Abstract:

:Although acute myeloid leukemia (AML) mostly occurs in older patients, it could be seen in women of childbearing age. It is therefore not surprising that in some patients the management of AML will be complicated by a coexistent pregnancy. However, the association of leukemia and pregnancy is uncommon. Its incidence is estimated to be 1 in 75,000 to 100,000 pregnancies. During pregnancy, most leukemias are acute: two thirds are myeloid and one third are lymphoblastic. There is no standard approach for this clinical dilemma, in part because of variables such as the type of AML, the seriousness of the symptoms, and the patient's personal beliefs. In many cases, the diagnostic work up has to be altered because of the pregnancy, and often available treatments have varying risks to the fetus. While chemotherapy is reported to have some risks during the first trimester, it is admitted that it can be administered safely during the second and the third trimesters. This article is protected by copyright. All rights reserved.

journal_name

Eur J Haematol

authors

Thomas X

doi

10.1111/ejh.12535

subject

Has Abstract

pub_date

2015-02-16 00:00:00

eissn

0902-4441

issn

1600-0609

pub_type

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