Safe and Effective Use of Imatinib to Treat Philadelphia Chromosome Positive Acute Lymphoblastic Leukemia During Pregnancy

J Adolesc Young Adult Oncol. 2022 Dec;11(6):617-620. doi: 10.1089/jayao.2021.0200. Epub 2022 Jan 19.

Abstract

Philadelphia chromosome positive (Ph+) B cell acute lymphoblastic leukemia (ALL) is extremely rare in pregnancy. Although the use of tyrosine kinase inhibitors (TKIs) has significantly improved outcomes of patients with Ph+ ALL, its use during pregnancy is not recommended due to the risk of fetal malformations. There are limited data on the use of TKIs during pregnancy and its long-term effects on the fetus. Within this context, we present a case of a 25-year-old woman diagnosed with Ph+ ALL during the third trimester and the safe and effective use of imatinib as treatment after failure of conventional chemotherapy.

Keywords: Philadelphia chromosome positive; acute lymphoblastic leukemia; imatinib; pregnancy.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Female
  • Humans
  • Imatinib Mesylate / adverse effects
  • Philadelphia Chromosome*
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma* / drug therapy
  • Pregnancy

Substances

  • Imatinib Mesylate