Obstetrics and Gynecology International (Jan 2009)

Intra-Abdominal Bleeding during Pregnancy, Preterm Delivery, and Placental Polyp in a Long-Term Survivor of Neuroblastoma: A Case Report

  • Noriyoshi Watanabe,
  • Junna Tsutsui,
  • Satsuki Kakiuchi,
  • Seung Chik Jwa,
  • Hironori Takahashi,
  • Naomi Kato,
  • Nobuaki Ozawa,
  • Haruhiko Sago,
  • Michihiro Kitagawa

DOI
https://doi.org/10.1155/2009/564567
Journal volume & issue
Vol. 2009

Abstract

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Background. There are few reports of pregnancies in long-term survivors of pelvic neuroblastoma. Case. A 30-year-old Japanese woman with a history of pelvic neuroblastoma in her childhood, which was treated with surgical resection, chemotherapy, and radiation. Her pregnancy continued with conservative management, but she delivered a 510 g female infant at 23 weeks of gestation due to sudden onset of labor pain. She also had a placental polyp and developed massive postpartum bleeding. Conclusion. Cancer treatment, especially radiation therapy, in childhood may cause adverse outcomes during pregnancy in long-term survivors of neuroblastoma.