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. 2020 Dec 3;12(12):3616. doi: 10.3390/cancers12123616

Table 2.

Main results of the studies reporting short- and long-term outcomes following in utero exposure to chemotherapy.

Study, Year Type of Mother’s Cancer Type of Systemic Treatments Results
Hahn, 2006 [86] Breast cancer 5′-fluorouracil, doxorubicin and cyclophosphamide No stillbirths, miscarriages, or perinatal deaths
1 subarachnoid hemorrhage, 1 Down’s syndrome
Murthy, 2014 [41] Breast cancer 5′-fluorouracil, doxorubicin and cyclophosphamide No significant impairment of baby health at delivery and up to childhood
3 babies with congenital abnormalities
Amant, 2015 [87] Breast cancer, hematological malignancies, cervical cancer, ovarian cancer, brain tumor, colon cancer, gastric cancer, renal cell cancer, tongue cancer, lung cancer, thyroid cancer, melanoma, sarcoma Anthracycline-based, anthracycline plus taxane, CMF, taxane-based, platinum-agents, vinca alkaloid, dacarbazine, temozolomide, mitoxantrone Comparison with control group (babies from healthy women without in utero exposure to chemotherapy):
  • -

    Normal cognitive, cardiac and general development

  • -

    Prematurity was correlated with worse cognitive outcome, irrespective of cancer treatment

Cardonick, 2015 [88] Breast cancer, ovarian cancer, hematological malignancies Anthracycline-based, anthracycline plus taxane, taxane-based Comparison with control group (babies from women also diagnosed with a cancer during pregnancy, but without in utero exposure to chemotherapy):
  • -

    Higher incidence of premature birth

  • -

    No significant differences in cognitive development and behavioral competence

O’Laughlin, 2019 [43] Breast cancer Anthracycline plus taxane Comparison with taxanes administration delayed to the postpartum period:
  • -

    Normal neonatal development

  • -

    No medical disorders

Abbreviations: CMF: Cyclophosphamide, methotrexate, 5′ fluorouracil.