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

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.

[1]  J. Nuchtern Perinatal neuroblastoma. , 2006, Seminars in pediatric surgery.

[2]  H. Critchley,et al.  Impact of cancer treatment on uterine function. , 2005, Journal of the National Cancer Institute. Monographs.

[3]  D. Tait,et al.  Can the irradiated uterus sustain a pregnancy? A literature review. , 2004, Clinical oncology (Royal College of Radiologists (Great Britain)).

[4]  D. Green,et al.  Pregnancy outcome of female survivors of childhood cancer: a report from the Childhood Cancer Survivor Study. , 2002, American journal of obstetrics and gynecology.

[5]  E. Norwitz,et al.  Placenta Percreta and Uterine Rupture Associated With Prior Whole Body Radiation Therapy , 2001, Obstetrics and gynecology.