How do you manage a patient with JAK2+ ET without history of thrombosis during pregnancy?
Does history of miscarriage affect your treatment decision?
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How do you manage a patient with JAK2+ ET without history of thrombosis during pregnancy?
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2 Answers
Mednet MemberInvited Expert
Medical Oncology · Massachusetts General Hospital
Answered on
Great question. We've recently published our experience here How et al., PMID 33022566. Patients with ET that are pregnant and that don't have a history of thrombosis are likely to be in the very low/low risk categories by R-IPSET, many of these women are likely not on any treatment prior to startin...
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Hematology · Mayo Clinic Arizona
Answered on
I agree with what Dr. @Dr. First Last said. When a patient starts trying to get pregnant, I make sure to stop hydroxyurea, ruxolitinib, etc. If they require cytoreduction, (i.e., PV or high risk ET), I start pegylated interferon (Pegasys), at this point, I don't believe there is enough data availabl...
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