Pregnancy And Brain Cancer- A Tough Call

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Carrie DeKlyen with her husband Nick Image Source: The Independent

A 37-year-old pregnant woman sacrifices her life to brain cancer while saving her unborn fetus from chemotherapy!

Carrie DeKlyen, a 37-year-old woman, presented with complaints of intractable and intolerable headaches and vomiting. After a series of investigations and evaluations, the doctors diagnosed her with glioblastoma, a brain cancer. The mass was surgically removed. Soon after the patient got pregnant with her sixth child, and unfortunately, not much later, she learned that her tumor had returned. Pregnancy and brain cancer, that too an aggressive brain tumor required tough decisions from the mother.

The patient preferred saving her pregnancy over getting chemotherapy for her cancer. She refused all the treatments due to their contraindications in the pregnancy to save her sixth child.

The patient’s condition deteriorated over time and her doctors performed a second surgery to excise the recurrent tumor. Thereafter, she suffered a stroke with residual ischemic brain damage.

Thereafter, she suffered another stroke warranting mechanical support as the patient had become unconcious.

Between pregnancy and her brain cancer, the patient’s priority was her baby so to honor her wish, she was kept on artificial life support till the pregnancy reaches its maturity. The aim was to let the baby grow enough to support outside the womb. In such situations, it is near impossible for a fetus to reach full term.

Ultimately, a baby girl was born via a cesarean section before the completion of the 25th week. The baby weighed a little above 1 pound.

Unfortunately, the mother passed away soon after. The baby could only live for 14 days in this world before she also succumbed to death.

Glioblastoma is a rapidly growing tumor of the glial cells, i.e., astrocytes and oligodendrocytes, of the brain. It is an aggressive and devastating tumor with a high recurrence and a high mortality rate. Prolonging the survival or making survival comfortable enough are the aims of the treatment modalities.

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Dr. Arsia Hanif has been a meritorious Healthcare professional with a proven track record throughout her academic life securing first position in her MCAT examination and then, in 2017, she successfully completed her Bachelors of Medicine and Surgery from Dow University of Health Sciences. She has had the opportunity to apply her theoretical knowledge to the real-life scenarios, as a House Officer (HO) serving at Civil Hospital. Whilst working at the Civil Hospital, she discovered that nothing satisfies her more than helping other humans in need and since then has made a commitment to implement her expertise in the field of medicine to cure the sick and regain the state of health and well-being. Being a Doctor is exactly what you’d think it’s like. She is the colleague at work that everyone wants to know but nobody wants to be. If you want to get something done, you approach her – everyone knows that! She is currently studying with Medical Council of Canada and aspires to be a leading Neurologist someday. Alongside, she has taken up medical writing to exercise her skills of delivering comprehensible version of the otherwise difficult medical literature. Her breaks comprise either of swimming, volunteering services at a Medical Camp or spending time with family.

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