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Target Concepts:
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Query: UMLS:C0026986 (
myelodysplastic syndrome
)
14,926
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
Although the
myelodysplastic syndrome
(
MDS
) is most common in the elderly, younger patients, including women of child-bearing age, may be affected. The association of
MDS
with pregnancy appears to be very rare: fewer than 25 cases have been reported. We report the outcomes of seven pregnancies in four women seen at the Mayo clinic between 1983 and 2000. Three of the women were found to have
MDS
when an abnormal complete blood count was detected during routine prenatal care. The fourth patient had an apparently congenital
MDS
, and suffered three spontaneous abortions before undergoing premature menopause as a result of pelvic irradiation for
vulvar cancer
. We discuss some of the unique concerns regarding pregnant patients with
MDS
. As women give birth at older ages and as more young persons survive cancer,
MDS
and pregnancy are likely to be seen together with increasing frequency.
...
PMID:Myelodysplastic syndrome and pregnancy: the Mayo Clinic experience. 1191 3
The incidence and pattern of secondary neoplasms in patients with acute promyelocytic leukemia (APL) treated with all-trans retinoic acid (ATRA)-containing regimens is not well described. We compared 160 patients with APL treated with ATRA plus idarubicin (n = 54) or ATRA plus arsenic trioxide (ATO) (n = 106) for the incidence of secondary cancers per unit time of follow-up. Median follow-up times for the two cohorts were 136 and 29 months, respectively. Nine patients developed secondary cancers in the chemotherapy group. These included two breast cancers, three
myelodysplastic syndromes
/acute myeloid leukemia, one
vulvar cancer
, one prostate cancer, one colon cancer and one soft tissue sarcoma. A melanoma and one pancreatic cancer developed in the ATO group. We conclude that treatment of patients with APL using the non-chemotherapy regimen of ATRA plus ATO is not associated with a higher incidence of secondary cancers (p = 0.29) adjusted for unit time of exposure.
...
PMID:Incidence of secondary neoplasms in patients with acute promyelocytic leukemia treated with all-trans retinoic acid plus chemotherapy or with all-trans retinoic acid plus arsenic trioxide. 2512 50