Chronic Myeloid Leukemia During Pregnancy with Placental Involvement: Case Report and Literature Review.

IF 0.7 4区 医学 Q4 PATHOLOGY Fetal and Pediatric Pathology Pub Date : 2023-10-01 Epub Date: 2023-06-06 DOI:10.1080/15513815.2023.2218929
Esra Çobankent Aytekin, M Pooya Salehi Moharer, Ahmet Boduroglu, CemYaşar Sanhal, Havva Serap Toru
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Abstract

Introduction: Chronic myeloid leukemia (CML) occurrence during pregnancy is unusual due to the low prevalence of the disease in women of childbearing age, with only three reported cases. Case report: The mother was diagnosed with CML with positive BCR-ABL gene fusion in her 32nd week of gestation. The placenta showed an increased population of myelocytes and segmented neutrophils in the intervillous space and features of maternal villous malperfusion (increased perivillous fibrinoid material and distal villous hypoplasia). The mother underwent leukapheresis and delivered the neonate at 33 wk gestation. The neonate demonstrated neither leukemia nor other pathology. The mother is in remission after four years of follow-up. Conclusion: Leukapheresis was performed safely during pregnancy and provided a safe management strategy until the delivery one week later.

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妊娠期慢性粒细胞白血病合并胎盘损害:病例报告和文献复习。
引言:慢性粒细胞白血病(CML)在怀孕期间的发生是不寻常的,因为该疾病在育龄妇女中的患病率较低,只有三例报告。病例报告:母亲在妊娠32周时被诊断为慢性粒细胞白血病,BCR-ABL基因融合阳性。胎盘显示,绒毛间骨髓细胞和分段中性粒细胞数量增加,母体绒毛灌注不良(绒毛周围纤维蛋白样物质增加和远端绒毛发育不全)。母亲接受了白血病切除术,并在妊娠33周时分娩。新生儿既没有表现出白血病,也没有表现出其他病理。经过四年的随访,母亲病情缓解。结论:白血病切除术在妊娠期间是安全的,并提供了一个安全的管理策略,直到一周后分娩。
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来源期刊
CiteScore
3.00
自引率
0.00%
发文量
68
审稿时长
6-12 weeks
期刊介绍: Fetal and Pediatric Pathology is an established bimonthly international journal that publishes data on diseases of the developing embryo, newborns, children, and adolescents. The journal publishes original and review articles and reportable case reports. The expanded scope of the journal encompasses molecular basis of genetic disorders; molecular basis of diseases that lead to implantation failures; molecular basis of abnormal placentation; placentology and molecular basis of habitual abortion; intrauterine development and molecular basis of embryonic death; pathogenisis and etiologic factors involved in sudden infant death syndrome; the underlying molecular basis, and pathogenesis of diseases that lead to morbidity and mortality in newborns; prenatal, perinatal, and pediatric diseases and molecular basis of diseases of childhood including solid tumors and tumors of the hematopoietic system; and experimental and molecular pathology.
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