Diagnosis and management of lymphoma during pregnancy
10.3760/cma.j.cn113903-20230215-00067
- VernacularTitle:妊娠期淋巴瘤的诊断及处理进展
- Author:
Xinyang MA
1
;
Meiying LIANG
Author Information
1. 北京大学人民医院妇产科，北京 100044
- Keywords:
Pregnancy complications, neoplastic;
Lymphoma;
Precision medicine;
Pregnancy outcome
- From:
Chinese Journal of Perinatal Medicine
2023;26(9):709-713
- CountryChina
- Language:Chinese
-
Abstract:
Lymphoma is a malignant tumor of the lymphatic system, including Hodgkin's lymphoma and non-Hodgkin's lymphoma. Lymphoma is the fourth most common primary malignant tumor during pregnancy and one of the major malignant diseases affecting maternal and infant outcomes. This review summarizes the clinical features, diagnosis, maternal and fetal outcomes, and clinical lymphoma treatment during pregnancy. It is suggested that clinicians should pay attention to the symptoms, including unexplained lymphadenectasis, systemic symptoms, extranodal lesions, and the symptoms of pressure exerted on the involved local organs, especially those in the breast and reproductive system, and make a timely diagnosis in line with the biopsy or puncture results. Management should be based on the classification, stage, and clinical manifestations of lymphoma. Besides, the gestational age at diagnosis, maternal and child conditions, and the willingness to continue the pregnancy should also be considered. Most mothers and their children can have good outcomes after individualized treatment through multidisciplinary cooperation and close perinatal management.
