How do you manage a patient with JAK2+ ET without history of thrombosis during pregnancy?
Does history of miscarriage affect your treatment decision?
Answer from: Medical Oncologist at Academic Institution
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...
I agree with what Dr. @Hobbs 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 available for the...