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Drugs

, Volume 75, Issue 15, pp 1725–1738 | Cite as

Management of Hematologic Malignancies: Special Considerations in Pregnant Women

  • Odelia Amit
  • Merav Barzilai
  • Irit Avivi
Therapy in Practice

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.

Keywords

Acute Myeloid Leukemia Imatinib Chronic Myeloid Leukemia Hematologic Malignancy Nilotinib 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Compliance with Ethical Standards

Funding

The preparation of this review received no funding.

Conflict of interest

O. Amit, M. Barzilai, and I. Avivi have no conflicts of interest to declare.

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Copyright information

© Springer International Publishing Switzerland 2015

Authors and Affiliations

  1. 1.Hematology and Bone Marrow Transplant UnitTel Aviv Medical CenterTel AvivIsrael

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