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Symptoms & History
Physical Findings
Stop & Think
Lab and X-Ray
Differential Diagnosis
The Disease
Treatment
Conclusions
Quiz & Evaluation
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Life sure can be interesting.
- Mrs. Talbott's list of
diagnoses:
- Stage IA nodular
sclerosing Hodgkin Disease.
- Iron deficiency anemia
, almost certainly unrelated to to her Hodgkin's Disease. Then
what is it due to
?
- First trimester pregnancy
.
How will the pregnancy affect
her Hodgkin's Disease and what about cancer therapy now?
- Sometimes tumor growth
does accelerate during a pregnancy because there is T-cell
suppression in the mother to prevent rejecting the fetus.
- This is not a significant
problem with Hodgkins.
- Radiation can
safely be given with shielding of the fetus.
- Chemotherapy is not an
issue here because of her stage.
- Were chemotherapy
in the plan,
- It would be withheld
during the first trimester, but
- Given during the
second and third trimesters.
Two week
follow-up
.
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