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The Cancer in Pregnancy Forum

Archived Questions and Answers
This Forum has been the centre of an exceptional exchange of knowledge diagnosis, treatment, symptoms and other effects of cancer during pregnancy and lactation. All are welcome to review the Questions and Answers posted here, provided that they acknowledge and accept the important proviso and disclaimer below.
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Forum > Specific Cancer: Specific Cancer
Recurrent ALL and pregnancy

CCoPE
Date: 2004-03-11

Question:
I have a patient diagnosed with ALL in 1995, has been in remission, now 30 week gestation and has recurrent ALL. Question of course of action,

Answer:
The patient should be followed closely by a perinatologist for fetal lung maturity, and fetal well being. Your team should decide if there is substantial risk for the mother in postponing chemotherapy for 4-5 weeks. Although chemotherapy cannot cause teratogenicity at this stage, it may affect fetal/neonatal bone marrow transiently. If the baby is developing appropriately, caesarian section at 34-35 weeks will allow starting maternal treatment.

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