Laparoscopic Splenectomy for Hairy Cell Leukemia in Pregnancy
Objective. We present a successful case of laparoscopic splenectomy for a massively enlarged spleen at 25 weeks of gestation for hairy cell leukemia in pregnancy in a woman with initial hemoglobin of 4.3 gm/dl and platelet count of 18,000/mm3. Study Design. Case report. Results. This report provides...
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| Format: | Article |
| Language: | English |
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Wiley
2010-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2010/136823 |
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| author | Beni Adegoke Adeniji Moses Fallas Marc Incerpi Solomon Hamburg Robert Katz Dotun Ogunyemi |
| author_facet | Beni Adegoke Adeniji Moses Fallas Marc Incerpi Solomon Hamburg Robert Katz Dotun Ogunyemi |
| author_sort | Beni Adegoke Adeniji |
| collection | DOAJ |
| description | Objective. We present a successful case of laparoscopic splenectomy for a massively enlarged spleen at 25 weeks of gestation for hairy cell leukemia in pregnancy in a woman with initial hemoglobin of 4.3 gm/dl and platelet count of 18,000/mm3.
Study Design. Case report.
Results. This report provides an approach to management that may be applicable in those cases where thrombocytopenia or other clinical imperatives preclude delaying treatment till after pregnancy.
Conclusion. Hairy cell leukemia is a clonal B-Cell malignancy, for which there is very limited experience worldwide for its management when it occurs during pregnancy. Laparoscopic splenectomy should be considered as a therapeutic option, even with a significantly enlarged spleen, in order to avoid the risks of fetal exposure to chemotherapeutic agents. Unique considerations relating to pregnancy are highlighted. |
| format | Article |
| id | doaj-art-a85a235f3523474583bafa5921ee94cc |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2010-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-a85a235f3523474583bafa5921ee94cc2025-02-03T00:59:29ZengWileyCase Reports in Medicine1687-96271687-96352010-01-01201010.1155/2010/136823136823Laparoscopic Splenectomy for Hairy Cell Leukemia in PregnancyBeni Adegoke Adeniji0Moses Fallas1Marc Incerpi2Solomon Hamburg3Robert Katz4Dotun Ogunyemi5Cedars-Sinai Medical Center, 8700 W Beverly Bowerard, Los Angeles, CA 90048, USACedars-Sinai Medical Center, 8700 W Beverly Bowerard, Los Angeles, CA 90048, USALAC+USC Medical Center, 1420 S Central Avenue, Glendale, CA 91201, USACedars-Sinai Medical Center, 8700 W Beverly Bowerard, Los Angeles, CA 90048, USACedars-Sinai Medical Center, 8700 W Beverly Bowerard, Los Angeles, CA 90048, USACedars-Sinai Medical Center, 8700 W Beverly Bowerard, Los Angeles, CA 90048, USAObjective. We present a successful case of laparoscopic splenectomy for a massively enlarged spleen at 25 weeks of gestation for hairy cell leukemia in pregnancy in a woman with initial hemoglobin of 4.3 gm/dl and platelet count of 18,000/mm3. Study Design. Case report. Results. This report provides an approach to management that may be applicable in those cases where thrombocytopenia or other clinical imperatives preclude delaying treatment till after pregnancy. Conclusion. Hairy cell leukemia is a clonal B-Cell malignancy, for which there is very limited experience worldwide for its management when it occurs during pregnancy. Laparoscopic splenectomy should be considered as a therapeutic option, even with a significantly enlarged spleen, in order to avoid the risks of fetal exposure to chemotherapeutic agents. Unique considerations relating to pregnancy are highlighted.http://dx.doi.org/10.1155/2010/136823 |
| spellingShingle | Beni Adegoke Adeniji Moses Fallas Marc Incerpi Solomon Hamburg Robert Katz Dotun Ogunyemi Laparoscopic Splenectomy for Hairy Cell Leukemia in Pregnancy Case Reports in Medicine |
| title | Laparoscopic Splenectomy for Hairy Cell Leukemia in Pregnancy |
| title_full | Laparoscopic Splenectomy for Hairy Cell Leukemia in Pregnancy |
| title_fullStr | Laparoscopic Splenectomy for Hairy Cell Leukemia in Pregnancy |
| title_full_unstemmed | Laparoscopic Splenectomy for Hairy Cell Leukemia in Pregnancy |
| title_short | Laparoscopic Splenectomy for Hairy Cell Leukemia in Pregnancy |
| title_sort | laparoscopic splenectomy for hairy cell leukemia in pregnancy |
| url | http://dx.doi.org/10.1155/2010/136823 |
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