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Volume 358:2848-2849 June 26, 2008 Number 26
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Case 4-2008: A Pregnant Woman with a Swollen Left Breast and Dyspnea

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by Shulman, L. N.
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To the Editor: As reported by Shulman et al. (Jan. 31 issue),1 the first signs of a malignant condition in a young pregnant woman with lymphoma involving the mediastinum and left breast were noted at 26.1 weeks' gestation, and a live-born infant was delivered approximately 5 weeks later. Although the clinicians state that "the baby is well," it may be too early to tell. There is an average lag time of 4.6 months between birth and the diagnosis of cancer transmitted from a mother to a child,2 and although rare, transplacental metastases of maternal leukemias, lymphomas, melanomas, and carcinomas2,3,4 have . . . [Full Text of this Article]



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