Pregnancy and Acute Lymphoblastic Leukemia: A Case Series and Review of Literature

Abstract: Acute lymphoblastic leukemia (ALL) diagnosed during pregnancy is rare and causes ethical and therapeutic challenges. We performed a retrospective search of ALL patients (n = 202) treated at our institution from 2015 to 2020 and found five patients diagnosed during pregnancy. In this report, we discuss the individual patients in detail and the challenges faced during their treatment. The use of established lymphoblastic leukemia treatment protocols and the modifications made therein to prevent untoward chemotherapy-related toxicities to the fetus are discussed in this study. We report the second use of rasburicase during pregnancy in literature with favorable maternal and fetal outcomes. We also present an extensive literature review of 41 cases of ALL in pregnancy previously reported. It is important to note that there is a dearth of guidelines for the treatment of these complex situations, and although certain general principles can be established, an individualized approach is needed in most cases of leukemia diagnosed during pregnancy.

Location
Deutsche Nationalbibliothek Frankfurt am Main
Extent
Online-Ressource
Language
Englisch

Bibliographic citation
Pregnancy and Acute Lymphoblastic Leukemia: A Case Series and Review of Literature ; day:17 ; month:05 ; year:2023
Indian journal of medical & paediatric oncology ; (17.05.2023)

Contributor
Bhattacharjee, Sukrita
Ghosh, Shouriyo
Ray, Siddhartha Sankar
Samanta, Sambit
Sinha, Nilanjan
Saha, Sandeep
Bhattacharyya, Maitreyee

DOI
10.1055/s-0043-1766129
URN
urn:nbn:de:101:1-2023062913385568110385
Rights
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Last update
14.08.2025, 10:59 AM CEST

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Associated

  • Bhattacharjee, Sukrita
  • Ghosh, Shouriyo
  • Ray, Siddhartha Sankar
  • Samanta, Sambit
  • Sinha, Nilanjan
  • Saha, Sandeep
  • Bhattacharyya, Maitreyee

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