●患有恶性淋巴瘤孕妇“带胎治疗”初获成效，宝宝目前健康

* pregnant women suffering from malignant lymphoma"With tire treatment"At the beginning of improvement,The baby is healthy

　　正沉浸在孕育宝宝的幸福中，突然得知患了恶性肿瘤。遭受这种打击，准妈妈们要么流产以接受抗癌治疗，要么为了宝宝放弃救命机会。有没有两全其美的方法？

Immersed in happiness, gave birth to the baby,Suddenly learned that suffered from malignant tumors.Suffered from the blow,Expectant mothers or abortion to anticancer therapy,Baby or to give up for help.Is there a way to kill two birds with one stone?

　　在国外，“带胎治疗”近年来越来越多，国内也有病人尝试在孕期采取抗癌治疗。记者从中山大学肿瘤防治中心获悉，一位患有恶性淋巴瘤的孕妇在多学科医生的严密监控下，一边接受抗癌治疗，一边继续怀孕。宝宝34周经剖宫产出生，如今已健康成长到四个月大，而妈妈的病情也被基本稳住。医生指出，“边生宝宝边抗癌”能否成功，与癌种、妊娠阶段等因素有很大关系。

In a foreign country,"With tire treatment"In recent years, more and more,Domestic also have patients try to anticancer therapy during pregnancy.The reporter learns from sun yat-sen university cancer prevention and control center,A pregnant women suffering from malignant lymphoma in multiple disciplines under the doctor's closely monitored,Anticancer therapy,Continue to pregnancy.Babies born 34 weeks after cesarean delivery,Healthy growth to four months old now,And my mother's illness has also been steady basic.The doctor said,"Gave birth to the baby and anti-cancer"The success of,And cancer/Has a lot to do with factors such as pregnancy stage.

　连续高烧三月 Continuous high fever in March

　　孕妇得知患癌 Pregnant women know that cancer

　　怀孕四个月的李女士突然连续高烧三个月。“烧得很奇怪，每天傍晚准时发热，因为怀孕，我也不敢吃药，熬到半夜，一般就能退烧。”李女士回忆，这时，她日渐隆起的肚子上突然长了一圈疙瘩，被诊断为皮下结节。

Four months pregnant, Ms. Li suddenly continuous high fever for three months."Burn very strange,Every evening on time fever,Due to her pregnancy,I also dare not to take medicine,Until the middle of the night,General will fever."Ms. Lee recalled,At this time,She suddenly became swollen belly for a pimple,Diagnosed with subcutaneous nodules.

　　家人不敢怠慢，立即带她去就诊，最后被确诊为“脂膜炎样T细胞淋巴瘤”，一种非常少见的非霍奇金淋巴瘤。

My family can't snub,Taking her to see a doctor immediately,Was finally diagnosed"Panniculitis T cell lymphoma",A very rare non-hodgkin's lymphoma.

　　一得知妻子患了癌症，赵先生马上决定放弃宝宝，先让她进行抗癌治疗，然而李女士却不同意，“宝宝已经7个月了，我舍不得。”幸好，绝望之时，前来会诊的中山大学肿瘤防治中心黄慧强教授告诉她：“宝宝可以保住，妈妈的病情也能控制。”

A learned that his wife had cancer,Mr. Zhao immediately decided to give up the baby,First, let her for cancer treatment,Ms. Lee, however, disagree,"The baby is seven months,I loathe to give up."Fortunately,,At the time of despair,Come to the consultation of cancer prevention and control center, sun yat-sen university professor Huang Huijiang told her:"The baby can hold,Mother's illness can control."

　　经过医生的苦心劝说，在家人的大力支持下，李女士决定边生宝宝边抗癌。医生建议她采用“带胎化疗”，这样对病情控制的效果最好，但她害怕化疗可能对宝宝不利，坚决不同意。因此，医生选择保守治疗方案，让她先用适量激素控制病情进展，待宝宝分娩后，再接受大剂量化疗。

After the doctor's best persuade,Under the support of his family,Ms. Lee decided to gave birth to the baby and anti-cancer.The doctor suggested that she USES"With tire chemotherapy",So to control the condition of the best effect,But she is afraid of chemotherapy may be bad for the baby,Resolute don't agree with.so,Doctors choose conservative treatment,Let her use a moderate amount of hormone control disease progression,To the baby after birth,Receiving high-dose chemotherapy.

　宝宝出生时 The baby was born

　　有肺部感染 Have a lung infection

　　鉴于病人情况极为特殊，黄慧强教授与中山大学附属第一医院产科专家一起，联手监控李女士的孕情变化。

In view of the patient's condition is very special,Professor Huang Huijiang together with sun yat-sen university first affiliated hospital maternity experts,To monitor YunQing change of Ms. Lee.

　　去年12月13日，胎龄34周的宝宝经剖宫产顺利降生。由于是早产儿，且可能受妈妈早期曾采用大剂量激素治疗的影响，宝宝出生时有肺部感染，一度下了病危通知书。为免妻子忧心进而影响病情，赵先生将实情瞒了下来。目前，宝宝四个月大，身体健康，发育正常。

Last year on December 13,Gestational age 34 weeks, babies born by cesarean delivery smoothly.Because it is premature,And may be mother earlier using large dose of hormone therapy,The baby was born with lung infection,Once a notice under the terminally ill.In order to avoid worried, in turn, affects the illness of his wife,Mr. Zhao and hide the truth.At present,Baby is four months old,A healthy body,Developing normally.

　怀孕中晚期 Pregnancy middle-late

　　化疗相对安全 The relative safety of chemotherapy

　　月子坐了一半，李女士即按原定方案进行大剂量化疗，目前病情比较稳定。

Confined by half,Ms. Li or high-dose chemotherapy according to original plan,Her condition is stable.

　　“过去认为化疗药物对胎儿可能有致畸作用，所以妊娠期不进行化疗，一般会放弃胎儿。但现在国外医学界的实践显示，妊娠中晚期进行化疗是相对安全的，新生儿没有明显畸形。”黄慧强表示，“带胎化疗”要严控条件。怀孕12周以内，由于胎儿对放、化疗十分敏感，可能导致畸形、流产，而到了孕中晚期，情况则不同。在病变不危及生命时，可以先继续怀孕，分娩后再治疗。如果病变危及生命，可以先给予化疗，使疾病控制在一定阶段，待宝宝生出后再补充放疗和化疗。

"Used to think that possible teratogenic effect chemotherapy drug on the fetus,So, is not chemotherapy during pregnancy,Usually give up baby.But now medical practice shows abroad,Pregnancy middle-late chemotherapy is a relatively safe,Baby no obvious deformity."Huang Huijiang said,"With tire chemotherapy"To control conditions.Within 12 weeks of pregnancy,As the fetus/Chemotherapy is very sensitive,May lead to deformation/abortion,In middle-late pregnancy,It is different.When the lesion is not life-threatening,To continue to pregnancy,Delivery after the treatment.If lesions are life threatening,To give chemotherapy,Make the disease control in a certain stage,When the baby born to add radiotherapy and chemotherapy.

淋巴瘤对 Lymphoma of

　　全身化疗敏感 Systemic chemotherapy sensitivity

　　“边生宝宝边抗癌”能否成功，与癌种有很大关系。“淋巴瘤的特点是进展并不迅猛，且对全身化疗很敏感，更有利于保胎。”黄慧强指出，在怀孕时先用化疗将纵隔的肿瘤尽快缩小，等孕妇脱离危险期，再尽可能拖到怀孕32~34周。这时胎儿发育接近成熟，出生后的成活率比较高。

"Gave birth to the baby and anti-cancer"The success of,Have a a lot to do with cancer."Lymphoma is the feature of progress is not fast,And is sensitive to systemic chemotherapy,More conducive to spuc."Huang Huijiang pointed out,During pregnancy the mediastinal tumor with chemotherapy first narrowed as soon as possible,Such as pregnant women out of danger,As far as possible to 32 ~ 34 weeks pregnant again.When fetal development close to mature,After the birth survival rate is quite high.

　　而其他癌种，如受孕产激素影响大的乳腺癌，则需要考虑病情的分期，制定个体化方案。

But other cancer types of,Such as the pregnancy hormone influence breast cancer,The disease stage need to be considered,To develop individualized programs.

　　记者获悉，和其他肿瘤病人的治疗方案有所区别，孕妇患者要接受更为严密的监护。要做盆腔超声，监测母亲子宫底的高度和腹围，确定胎儿的大小是否符合孕周，是否受到肿瘤的影响，还要监测母亲是否产生腹水，了解病情的进展。此外，还要抽血检测肿瘤标记物的变化，预测产后病情的变化。　　文/记者任珊珊 通讯员黄金娟

Reporter has learned that,And other tumor patient treatment,Pregnant women of care for patients to accept much tighter.To do a pelvic ultrasound,Monitoring of the mother's uterus bottom height and 6,Determine the size of the fetus is in line with the gestational age,Is affected by cancer,And monitoring the mother whether the ascites,To understand the progress of the disease.In addition,More blood changes in detection of tumor markers,Predict postpartum condition changes.Wen ren shan correspondent Huang Jinjuan/reporter