An obstetric challenge in the management of lymphoma in pregnancy

Authors

  • Chitramani Sundararajan Department of Obstetrics and Gynecology, GKNM Hospital, Coimbatore, Tamil Nadu, India
  • Indu Venkadachalam Department of Obstetrics and Gynecology, GKNM Hospital, Coimbatore, Tamil Nadu, India
  • Suganya Parthasarathy Department of Obstetrics and Gynecology, GKNM Hospital, Coimbatore, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20222326

Keywords:

Pregnancy, Lymphoma, Pancytopenia, Non-Hodgkins lymphoma

Abstract

Non-Hodgkin lymphoma (NHL) comprises of heterogeneous group of lymphoid malignancies originating from lympho-reticular tissues and is quite uncommon in pregnancy (0.8 cases per 1,00,000 women). Anaplastic large cell lymphoma (ALCL) is a large-cell neoplasm with anaplastic morphology classified under NHL. Here, a 31 year old primigravida diagnosed with NHL of ALCL subtype in third trimester, started on chemotherapy which resulted in severe pancytopenia during which she had to undergo emergency caesarean section for fetal indication. This patient was transfused with blood products and managed in isolated intensive care unit. She had a good outcome in postnatal period and went on to complete her chemotherapy and ended with remission of lymphoma.

Author Biographies

Chitramani Sundararajan, Department of Obstetrics and Gynecology, GKNM Hospital, Coimbatore, Tamil Nadu, India

Consultant

Department of Obstetrics and Gynaecology

Indu Venkadachalam, Department of Obstetrics and Gynecology, GKNM Hospital, Coimbatore, Tamil Nadu, India

DNB Trainee

Department of Obstetrics and Gynaecology

Suganya Parthasarathy, Department of Obstetrics and Gynecology, GKNM Hospital, Coimbatore, Tamil Nadu, India

DNB Trainee

Department of Obstetrics and Gynaecology

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Published

2022-08-29

Issue

Section

Case Reports