妊娠中の古典的ホジキンリンパ腫の管理
Michael A Spinner1, Ranjana H Advani2
1Division of Hematology/Oncology, Department of Medicine, University of California, San Francisco, 400 Parnassus Avenue, A330P, San Francisco, CA 94143, USA.
Abstract:
Hodgkin lymphoma is the most common hematologic malignancy diagnosed during pregnancy, attributed to overlapping peak incidence with the reproductive years. Management during pregnancy requires a multidisciplinary team including hematology/oncology, maternal fetal medicine, anesthesiology, and neonatology. Treatment is driven by gestational age and symptoms in accordance with the patient's wishes. Ultimately, the goal is to maximize the cure rate of the mother while allowing for term delivery of a healthy child. This article provides practical recommendations on staging and management of Hodgkin lymphoma in pregnancy, including the optimal choice and timing of therapy by gestational age, along with supportive care considerations.
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