Abstract
A 34-year-old woman at 18 weeks of gestation during her third pregnancy was diagnosed with Hodgkin lymphoma stage IVA. She was treated with standard ABVD and showed good response. After three-and-a-half courses of ABVD, she spontaneously delivered a healthy baby girl at 41 weeks of gestation. She continued chemotherapy after delivery. A total of six courses of ABVD were given. Complete remission was obtained and has continued for 6 months post chemotherapy. Neither mother nor child developed any infections during the observation period. The child has also shown no physiological or developmental abnormalities. Here, we describe the feasibility and safety of the ABVD regimen for the treatment of Hodgkin lymphoma, and discuss the optimal treatment strategy.
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References
Resnik R. Cancer during pregnancy. N Engl J Med. 1999;341:120–1.
Cardonick E, Iacobucci A. Use of chemotherapy during pregnancy. Lancet Oncol. 2004;5:283–91.
Pohlman B, Macklis RM. Lymphoma and pregnancy. Semin Oncol. 2000;27:657–66.
Ebert U, Loffler H, Kirch W. Cytotoxic therapy and pregnancy. Pharmacol Ther. 1997;74:207–20.
Daly H, McCann SR, Hanratty TD, Temperley IJ. Successful pregnancy during combination chemotherapy for Hodgkin’s disease. Acta Haematol. 1980;64:154–6.
McCann SR, Daly H, Hanratty TD, Temperley IJ. Hodgkin’s disease and pregnancy. Acta Haematol. 1981;66:67–8.
Sagan D, Semczuk A, Lampka E. Combination chemotherapy for Hodgkin’s lymphoma during pregnancy: favorable outcome for mother and child. J Obstet Gynaecol Res. 2010;36:882–6.
Jones GL, Taylor PR, Windebank KP, Hoye NA, Lucraft H, Wood K, et al. Outcome of a risk-related therapeutic strategy used prospectively in a population-based study of Hodgkin’s lymphoma in adolescents. Br J Cancer. 2007;97:29–36.
Aviles A, Diaz-Maqueo JC, Talavera A, Guzman R, Garcia EL. Growth and development of children of mothers treated with chemotherapy during pregnancy: current status of 43 children. Am J Hematol. 1991;36:243–8.
Aviles A, Neri N. Hematological malignancies and pregnancy: a final report of 84 children who received chemotherapy in utero. Clin Lymphoma. 2001;2:173–7.
Lishner M, Zemlickis D, Degendorfer P, Panzarella T, Sutcliffe SB, Koren G. Maternal and foetal outcome following Hodgkin’s disease in pregnancy. Br J Cancer. 1992;65:114–7.
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Iriyama, N., Horikoshi, A., Tanaka, T. et al. Successful treatment of Hodgkin lymphoma in second trimester of pregnancy: feasibility of ABVD regimen. Int J Hematol 94, 104–107 (2011). https://doi.org/10.1007/s12185-011-0876-x
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DOI: https://doi.org/10.1007/s12185-011-0876-x