The Siberian Scientific Medical Journal
 
 
№ 1 / 2013 / 61-66

Tactics of therapy in chronic myeloid leukemia during pregnancy. Clinical case

Abstract

A case of a successful pregnancy outcome in a patient with chronic phase of chronic myeloid leukemia has been provided. The need to choose a therapy during pregnancy was the particularity of the case. The increasing of the leukemic cell mass evaluated by quantitative method of real-time polymeraze chain reaction (expression of chimeric oncogene BCR-ABL) has been observed at the moment of pregnancy diagnostics and during further monitoring. Since the 2nd trimester of pregnancy the patient was treated by imatinib. BCR-ABL transcript level rapidly decreased and a complete molecular remission was achieved at high tolerability. A healthy child was born at the 37th week of pregnancy. The approaches to therapy tactics of chronic myeloid leukemia during pregnancy have been discussed.

Key words

pregnancy, imatinib, chronic myeloid leukemia
References
About Authors (Correspondence):

Chelysheva E.Yu. – candidate of medical sciences, senior researcher of scientific and consultative department of myeloproliferative disorders, e-mail: denve@bk.ru

Turkina A.G. – doctor of medical sciences, professor, head of scientific and consultative department of myeloproliferative disorders, e-mail: turkianna@yandex.ru

Polushkina E.S. – candidate of medical sciences, researcher of obstetric physiological department, e-mail: epolushkina@mail.ru

Shmakov R.G. – doctor of medical sciences, head of obstetric physiological department, e-mail: mdshmakov@mail.ru

Full Text

Received: 11/02/2015