Open Access
CC BY-NC-ND 4.0 · Journal of Fetal Medicine 2020; 07(04): 289-293
DOI: 10.1007/s40556-020-00275-2
Original Article

Anticancer Agent Gefitinib and Congenital Anomalies

1   Institute of Obstetrics, Gynaecology and IVF, SRM Institutes for Medical Science, 600026, Chennai, India
,
P. M. Gopinath
1   Institute of Obstetrics, Gynaecology and IVF, SRM Institutes for Medical Science, 600026, Chennai, India
,
K. Kalaichelvi
2   Dr.Rai Memorial Medical Centre and Apollo Speciality Hospital, Chennai, India
› Author Affiliations
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Abstract

Congenital abnormalities caused by human teratogenic drugs account for less than 1% of total congenital abnormalities. We report the first case of multiple anomalies associated with antenatal exposure to the anticancer agent Gefitinib. The patient conceived while she was on tablet Gefitinib 250 mg once a day for stage IV adenocarcinoma of lungs. The first scan done at 29 weeks 2 days showed liquor amnii on the upper limit of normal, single umbilical artery, left sided congenital diaphragmatic hernia, ventriculoseptal defect and left radial ray defect. The patient had a preterm delivery after one week and she refused autopsy. It is important to advise patients regarding contraception while undergoing chemotherapy as there is an increased risk of drug induced fetal malformations.



Publication History

Received: 16 July 2020

Accepted: 30 October 2020

Article published online:
05 May 2023

© 2020. Society of Fetal Medicine. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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