Vol 5, No 1 (2014)
Case report
Published online: 2014-05-23
Hodgkin lymphoma in a pregnant patient
Hematologia 2014;5(1):89-93.
Abstract
The occurrence of cancer in a pregnant patient is a rare problem in oncology and hematology. We present a case report about the 29 years old female pregnant patient with newly diagnosed Hodgkin lymphoma (nodular sclerosis [NS] II). We assess the clinical stage as IIA with bulky mass according to Ann Arbor classification. The first cycle of treatment according to the EVA (etoposide, vinblastine, doxorubicin) schedule was administrated at 32 weeks of gestation, due to the progressive dyspnoea caused by growing mediastinal lymphadenopathy. At 35 weeks of pregnancy the patient gave birth to a healthy daughter. After the end of pregnancy we started standard Hodgkin lymphoma treatment. At the end of treatement the radiological examination showed complete metabolic remission of the disease. The featured case report shows the number of diagnostic, therapeutic and ethical problems related with coexistence of pregnancy and active malignant disease.
Keywords: Hodgkin lymphomapregnancychemotherapy