Unclassifiable lymphoma in pregnancy.
A 28-year-old woman, 15 weeks pregnant, consulted for cervical ache and left laterocervical mass. Imaging scans revealed a large mediastinal mass that had spread to supraclavicular and left axillar spaces, including cervicobrachial plexus. Pathological anatomy confirmed an unclassifiable lymphoma, w...
| Autores: | , , |
|---|---|
| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2021 |
| País: | España |
| Institución: | INCLIVA |
| Repositorio: | r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA |
| OAI Identifier: | oai:incliva.fundanetsuite.com:p16111 |
| Acceso en línea: | https://incliva.portalinvestigacion.com/publicaciones/16111 |
| Access Level: | acceso abierto |
| Palabra clave: | haematology (drugs and medicines) neonatal and paediatric intensive care pregnancy |
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Unclassifiable lymphoma in pregnancy.Hernández Martínez MLizán Tudela CSaus Carreres Ahaematology (drugs and medicines)neonatal and paediatric intensive carepregnancyA 28-year-old woman, 15 weeks pregnant, consulted for cervical ache and left laterocervical mass. Imaging scans revealed a large mediastinal mass that had spread to supraclavicular and left axillar spaces, including cervicobrachial plexus. Pathological anatomy confirmed an unclassifiable lymphoma, with intermediate features between diffuse large B-cell lymphoma and classical Hodgkin's lymphoma. CHOP (cyclophosphamide, doxorubicin, vincristine, prednisone) therapy was started with partial response. But due to disease progression, an elective caesarean section was performed (30th week of pregnancy) to begin a chemotherapy regime incompatible with pregnancy. Despite acute complications related to prematurity, the newborn could be discharged from hospital at 45 days of life. The patient did not respond to the second treatment line and she is currently undergoing a third chemotherapy regime. Given the unusual occurrence of lymphoma during pregnancy, multidisciplinary teamwork between haematologists, neonatologists and obstetricians is essential to achieve the best maternal-fetal outcome.BMJ PUBLISHING GROUP2021info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://incliva.portalinvestigacion.com/publicaciones/16111BMJ Case ReportsISSN: 1757790Xreponame:r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVAinstname:INCLIVAInglésinfo:eu-repo/semantics/openAccessoai:incliva.fundanetsuite.com:p161112026-06-07T16:35:31Z |
| dc.title.none.fl_str_mv |
Unclassifiable lymphoma in pregnancy. |
| title |
Unclassifiable lymphoma in pregnancy. |
| spellingShingle |
Unclassifiable lymphoma in pregnancy. Hernández Martínez M haematology (drugs and medicines) neonatal and paediatric intensive care pregnancy |
| title_short |
Unclassifiable lymphoma in pregnancy. |
| title_full |
Unclassifiable lymphoma in pregnancy. |
| title_fullStr |
Unclassifiable lymphoma in pregnancy. |
| title_full_unstemmed |
Unclassifiable lymphoma in pregnancy. |
| title_sort |
Unclassifiable lymphoma in pregnancy. |
| dc.creator.none.fl_str_mv |
Hernández Martínez M Lizán Tudela C Saus Carreres A |
| author |
Hernández Martínez M |
| author_facet |
Hernández Martínez M Lizán Tudela C Saus Carreres A |
| author_role |
author |
| author2 |
Lizán Tudela C Saus Carreres A |
| author2_role |
author author |
| dc.subject.none.fl_str_mv |
haematology (drugs and medicines) neonatal and paediatric intensive care pregnancy |
| topic |
haematology (drugs and medicines) neonatal and paediatric intensive care pregnancy |
| description |
A 28-year-old woman, 15 weeks pregnant, consulted for cervical ache and left laterocervical mass. Imaging scans revealed a large mediastinal mass that had spread to supraclavicular and left axillar spaces, including cervicobrachial plexus. Pathological anatomy confirmed an unclassifiable lymphoma, with intermediate features between diffuse large B-cell lymphoma and classical Hodgkin's lymphoma. CHOP (cyclophosphamide, doxorubicin, vincristine, prednisone) therapy was started with partial response. But due to disease progression, an elective caesarean section was performed (30th week of pregnancy) to begin a chemotherapy regime incompatible with pregnancy. Despite acute complications related to prematurity, the newborn could be discharged from hospital at 45 days of life. The patient did not respond to the second treatment line and she is currently undergoing a third chemotherapy regime. Given the unusual occurrence of lymphoma during pregnancy, multidisciplinary teamwork between haematologists, neonatologists and obstetricians is essential to achieve the best maternal-fetal outcome. |
| publishDate |
2021 |
| dc.date.none.fl_str_mv |
2021 |
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info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
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article |
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publishedVersion |
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https://incliva.portalinvestigacion.com/publicaciones/16111 |
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Inglés |
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Inglés |
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info:eu-repo/semantics/openAccess |
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openAccess |
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BMJ PUBLISHING GROUP |
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BMJ PUBLISHING GROUP |
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BMJ Case Reports ISSN: 1757790X reponame:r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA instname:INCLIVA |
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