Lymphoma during pregnancy in Japan: a multicenter retrospective cohort study View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2022-01-03

AUTHORS

Chie Onishi, Momoko Nishikori, Kimikazu Yakushijin, Shingo Kurahashi, Hideyuki Nakazawa, Yasushi Takamatsu, Yoshinori Hashimoto, Hiro Tatetsu, Yuichiro Nawa, Masahiro Yoshida, Tsutomu Kobayashi, Tatsuo Oyake, Shingo Yano, Aki Oride, Ritsuro Suzuki

ABSTRACT

ObjectiveThis study was conducted to characterize lymphoma occurring during pregnancy and to investigate the outcomes of the patients and the fetuses.MethodsClinical data were gathered retrospectively from 29 patients at 13 participating institutions, and data from 28 eligible patients were analyzed.ResultsSix (21%) patients had Hodgkin lymphoma (HL) and 22 (79%) patients had non-Hodgkin lymphoma (NHL). All patients with HL presented with lymphadenopathy, but 15 (68%) of the 22 patients with NHL presented with extranodal sites only. At the median follow-up period of 1325 (range 6–4461) days, the 5-year overall survival rate was 63% for patients with NHL and 100% for patients with HL. Three of the 13 patients who received chemotherapy during pregnancy (23%) developed Pneumocystis jiroveci pneumonia (PCP). There was 1 intrauterine fetal death, 1 spontaneous abortion in the first trimester, and 15 (54%) preterm births.ConclusionThis study showed a higher proportion of NHL than HL during pregnancy in Japan, which was inconsistent with the proportions observed in Western countries. The high incidence of maternal PCP and preterm birth suggested the need for improvements in our management of lymphoma during pregnancy. More... »

PAGES

382-390

Journal

TITLE

International Journal of Hematology

ISSUE

3

VOLUME

115

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s12185-021-03281-w

DOI

http://dx.doi.org/10.1007/s12185-021-03281-w

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1144367679

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/34981434


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34 Hodgkin's lymphoma
35 Japan
36 MethodsClinical data
37 Pneumocystis jiroveci pneumonia
38 ResultsSix patients
39 Western countries
40 abortion
41 birth
42 chemotherapy
43 cohort study
44 countries
45 data
46 days
47 death
48 eligible patients
49 extranodal sites
50 fetal death
51 fetuses
52 first trimester
53 follow
54 high incidence
55 higher proportion
56 improvement
57 incidence
58 institutions
59 intrauterine fetal death
60 jiroveci pneumonia
61 lymphadenopathy
62 lymphoma
63 management
64 management of lymphoma
65 median follow
66 multicenter retrospective cohort study
67 need
68 non-Hodgkin lymphoma
69 outcomes
70 overall survival rate
71 patients
72 period
73 pneumonia
74 pregnancy
75 preterm birth
76 proportion
77 rate
78 retrospective cohort study
79 sites
80 spontaneous abortion
81 study
82 survival rate
83 trimester
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