Re: OB: Acute leukemia

From: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca)
Sat Mar 25 20:06:18 2006


At Sat, 25 Mar 2006, Garry E. Siegel, M.D. wrote: >
>34 YO P0 at 5.5 weeks by scan was hospitalized with a very likely
>diagnosis of acute leukemia (bone marrow biopsy today, but her WBC and
>smear are pretty much diagnostic).
>
>I have done a medline and need to get several articles from the library
>Monday.
>
>Does anyone have any experience/thoughts?
>
>Feel free to email off list, too.
>
>**Also, if anyone has online access to Lancet full text articles, and
>doesn't mind, there is a good review for which I can only get the
>abstract. Please email privately.
>
>Garry
>
>--
>Garry E. Siegel, M.D.
>Private Practice
>Roswell, GA
>

T.A. clearly indicated for maternal reasons, followed by chemotherapy. Though it is true the Chemo would probably cause a spontaneous misscarriage the last thing you want to worry about would be a pregnancy continuing after all that Chem. One of the two maternal deaths I have seen in the last 10 years was a case of Acute leukemia at 19-20 wks she died at 23 wks after falling to recover her counts post chemo, cause was DIC and sepesis, she had refused termination at 16 wks.

--
                                 Take care, John




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