PT  - JOURNAL ARTICLE
AU  - Da-Lin Gao
AU  - Qian-Qian Fu
AU  - Tian-Tian Zhang
AU  - Lin Sun
AU  - Yi Pan
AU  - Qiong-Li Zhai
TI  - Occurrence of lymphoma in non-gonadal organ during pregnancy: a report on four cases and literature review
AID  - 10.20892/j.issn.2095-3941.2016.0040
DP  - 2016 Sep 01
TA  - Cancer Biology and Medicine
PG  - 399--403
VI  - 13
IP  - 3
4099  - http://www.cancerbiomed.org/content/13/3/399.short
4100  - http://www.cancerbiomed.org/content/13/3/399.full
SO  - Cancer Biol Med2016 Sep 01; 13
AB  - Lymphoma rarely occurs during pregnancy, making this condition difficult to define. Lymphomas that occur in reproductive organs during pregnancy exhibit unique clinical characteristics. Among the limited cases, non-Hodgkin's lymphoma (NHL) shows a considerably higher incidence rate than Hodgkin's lymphoma (HL); NHL also displays clinical characteristics, such as high aggressiveness, advanced stage, and poor outcome. This study reports on four cases of lymphomas in non-gonadal organs (HL, n=2; NHL, n=2) during pregnancy. The tumors rapidly progressed in all patients during pregnancy but remitted at the end of pregnancy and/or therapy. The two HL cases were nodular sclerosis classical HL and treated with chemotherapy after terminating the pregnancy. One of the NHL cases was primary cutaneous follicular center lymphoma, a B cell-derived indolent lymphoma. The patient was followed up without any therapy after terminating her pregnancy. The other case was a follicular lymphoma grade 3B, which was treated with chemotherapy after delivery. We also conducted a literature review of 165 lymphoma cases occurring during pregnancy reported from 1976 to 2013 to reveal the correlation between pregnancy and lymphoma progression. Immunohistochemistry studies were performed to determine the expression of estrogen/progesterone receptors (ER/PR), and ER was weakly positive and sporadic. We concluded that lymphomas occurring during pregnancy should be managed with a prompt and reasonable treatment. High estrogen level in maternal body may affect lymphoma progression.