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- Title
Management of Hematologic Malignancies: Special Considerations in Pregnant Women.
- Authors
Amit, Odelia; Barzilai, Merav; Avivi, Irit
- Abstract
The diagnosis and management of hematologic malignancy during pregnancy is a significant challenge. This is due to both medical and ethical considerations regarding when and how to treat this special sub-group of patients. Recurring uncertainties remain around appropriate imaging techniques, timing and dosage of chemotherapy, and timing of delivery. In this article we examine and summarize current literature in this field to assist physicians in their understanding and management of this patient group. Special attention has been given to diagnostic and staging procedures, risks associated with chemotherapy at different stages of gestation, and chemotherapy-dose adaption during pregnancy. In addition, recommended guidelines for management of lymphoma, leukemia, and planning delivery are discussed. A multidisciplinary team approach is critical for patient care, as is shared decision making with the patient and family.
- Subjects
HEALTH care teams; MEDICAL protocols; SOCIAL services case management; HEMATOLOGIC malignancies; PREGNANCY
- Publication
Drugs, 2015, Vol 75, Issue 15, p1725
- ISSN
0012-6667
- Publication type
Article
- DOI
10.1007/s40265-015-0464-0