Clinical Focus
- Obstetrics and Gynecology
Professional Education
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Medical Education:University of California San Diego School of Medicine Registrar (2013) CA
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Residency:Stanford Hospital and ClinicsCA
Zena Colleen Kharsa
Adjunct Clinical Instructor, Obstetrics & Gynecology - General
Bio
Publications
All Publications
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Pregnancy During Recovery from Hematopoietic Stem Cell Transplant for Mycosis Fungoides
JOURNAL OF ADOLESCENT AND YOUNG ADULT ONCOLOGY
2013; 2 (3): 133-135
Abstract
We report a case of spontaneous pregnancy with subsequent full-term live birth following hematopoietic stem cell transplantation (HSCT) for mycosis fungoides in a 24-year-old nulligravida with 4 years of prior infertility due to primary ovarian insufficiency. Four months post-transplant, the patient was found to be 10 weeks pregnant. Her pregnancy was complicated by first trimester fetal exposure to mycophenolate mofetil (pregnancy category D), delayed-onset acute gastrointestinal graft-versus-host disease, and multiple systemic infections. This report highlights the importance of discussing potential fertility outcomes in patients undergoing HSCT, including the necessity for adequate contraception post-transplant, even in the setting of previous infertility.
View details for DOI 10.1089/jayao.2013.0007
View details for Web of Science ID 000209404500011
