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Old 09-26-2012
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Default least likely complication

A 23-year-old woman is diagnosed with stage
IIIA Hodgkin’s lymphoma after an extensive
work-up. As her physician is explaining the recommended
treatment regimen for her disease,
the patient confesses she has been hoping to
become pregnant in the next few years. However,
she states she is willing to wait until she
has completed her treatment. She wants to
know the consequences of both her primary
disease of Hodgkin’s lymphoma and her treatment
regimen, as well as what effects they may
have on a potential pregnancy. Which of the
following complications is the least likely?

(A) An increased risk of second malignancy
(B) Ovarian failure that will preclude pregnancy
(C) Pericarditis that may cause congestive
heart failure during the pregnancy
(D) Recurrence of the patient’s disease due to
increased estrogen
(E) Restrictive lung disease that may be exacerbated
by pregnancy
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  #2  
Old 09-26-2012
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(D) Recurrence of the patient’s disease due to
increased estrogen
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Old 09-26-2012
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Less likely D
More likely E (bleomycin commonly used)
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Old 09-26-2012
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Quote:
Originally Posted by K06100 View Post
A 23-year-old woman is diagnosed with stage
IIIA Hodgkin’s lymphoma after an extensive
work-up. As her physician is explaining the recommended
treatment regimen for her disease,
the patient confesses she has been hoping to
become pregnant in the next few years. However,
she states she is willing to wait until she
has completed her treatment. She wants to
know the consequences of both her primary
disease of Hodgkin’s lymphoma and her treatment
regimen, as well as what effects they may
have on a potential pregnancy. Which of the
following complications is the least likely?

(A) An increased risk of second malignancy
(B) Ovarian failure that will preclude pregnancy
(C) Pericarditis that may cause congestive
heart failure during the pregnancy
(D) Recurrence of the patient’s disease due to
increased estrogen
(E) Restrictive lung disease that may be exacerbated
by pregnancy
Might be D, as the best of my knowledge there´s no relation between estrogen and the Hodgkin
A is likely as all chemotherapeutic agents have risk for seconf malignancy
B is likely after chemotherapeutic R
C is also likey because Hodgkin is treated with Doxorubicin causing cardiomyopathy
E is likely as XpaezX pointed out.
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Old 09-26-2012
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i think C..........doxo induced cardiac damage may exacerbate during pregnancy induced increased plasma volume............
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