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Re: Prematurity vs Chemotherapy From: Bernard Cristalli (bcrist@club-internet.fr) Wed Dec 31 02:49:33 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Bernard Cristalli: "Re: GEN: laptop" Previous message: Dr Savvas Savvas: "Happy New Year from CYPRUS" Maybe in reply to: Yoram Friedman: "Prematurity vs Chemotherapy" Yoram Friedman wrote: > > Here is a Dillema we face: > > Patient is pregnant 28.5 weeks gestation. > B-CELL Lymphoma, occupying most of the left lung and mediastinum. > On MRI there is no involvement of the spleen, liver or > retroperitoneal lymph-nodes. > Patient is considered for Cytoxan, Oncovin, Adriamycin and Prednison > treatmen. > > Should the fetus be delivered before chemotherapy ? > -- Wrote something on that long times ago (yes once again ;-)), on a very similar story (Grossesse et lymphome non hodgkinien. P. Morice, B. Cristalli, M. Heid, J. Briere, M., Levardon. J. Gynecol. Obstet. Biol. Reprod. 1993, 22, 68-70) I would begin prednison at once. Alone or with another steroid to mature the lungs. And wait till 32 weeks, if possible, before taking this fetus out. The other drugs may be "super bomb to the fetus" (A. Hensenne) -- Bernard Cristalli MD CNGOF AIHP - ACCA Paris - France http://www.obgyn.net/corresp/cristalli.htm Next message: Bernard Cristalli: "Re: GEN: laptop" Previous message: Dr Savvas Savvas: "Happy New Year from CYPRUS" Maybe in reply to: Yoram Friedman: "Prematurity vs Chemotherapy"

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