When Linsey Sowinski was told about the aggressive tumor growing
inside her chest, she was scared about more than just the cancer. She
was three months pregnant and she worried that doctors were going to
give her a wrenching choice: risk her own life by delaying treatment
until her baby was born or terminate the pregnancy and start
chemotherapy right now.
But these days, increasingly, cancer
stricken mothers-to-be are being told that there might be a third
choice. Doctors have learned that it’s possible to keep going with a
pregnancy and time the chemotherapy so it does the least amount of
damage to the growing fetus.
That may be the best news possible for the 1 in 1,000 pregnant women who are diagnosed with cancer each year.
For
Sowinski the strategy seems to have paid off. Her cancer is in
remission and her baby girl Lena Kate, born by C-section in May, seems
to be perfectly healthy even though she spent several nerve wracking
months with a depressed immune system.
“The timing [of the
chemotherapy] is really important,” Dr. Nancy Snyderman told TODAY’s
Savannah Guthrie. “The doctors were really smart. They waited till she
was through her first trimester when most injuries can happen to the
fetus. And then as soon as they could get the baby out, they went ahead
and sectioned her.
“Twenty years ago, Savannah, the choice would
have been to a mother: Do you want to go through the entire length of
the pregnancy and risk your being cured or do you want to abort now and
save your life?”
Linsey and her husband Scott could never have
imagined that they would be embarking on this journey when they planned
their dream wedding.
But even as Linsey was getting ready for the
ceremony, there were hints that something might not be right. Her dress
seemed to have somehow gotten so tight around her chest that it was
making breathing difficult.
“It was, kind of cutting off my air
and I wasn’t able to breathe real deep,” Linsey told TODAY. “So we
loosened it up and went on with the day. “
Doctors diagnosed
Linsey with a lung inflammation and gave her antibiotics and antacids to
treat it. The pain seemed like an afterthought when Linsey discovered
she was pregnant the day after she and her husband Scott came back from
their honeymoon.
But the pain kept getting worse. Though the
Sowinskies had initially decided against getting a chest x-ray for fear
that it would hurt the baby growing inside Linsey’s belly, they realized
they needed to find out what was wrong.
Just three months after the couple had said “I do,” doctors diagnosed Linsey with lymphoma.
“I
got the call from my doctor that night about 8 p.m.,” Linsey told
TODAY. “And she said to me that there was definitely something on my
x-ray. I was just scared to death. I mean, I was pregnant.”
And
because the tumor seemed especially aggressive the Sowinskies were told
they’d have to do something soon. The mass in Linsey’s chest was growing
rapidly, doubling in size every six weeks.
“Knowing that time was
against us and Linsey’s condition was worsening daily, we got on the
phone and got second and third opinions,” Scott wrote on the couple’s
website. “Dealing with the cancer was one thing, but we found there
wasn’t much information about dealing with cancer during pregnancy. Our
initial fear was that we would have to terminate the pregnancy.”
The
Sowinskies eventually found a doctor who told them it would be possible
to treat the cancer and continue the pregnancy. But they would have to
be careful about the timing of the treatments.
While research
shows that certain chemotherapy drugs are safe during pregnancy because
the drug molecules are too large to pass through the placenta and reach
the baby, others have received black-box warnings forbidding use during
pregnancy because of their toxicity.
“Pregnancy is a whole mass of
rapidly dividing cells,” their specialist, Dr. Douglas Barber told
TODAY. “And chemotherapy is not compatible with pregnancy. As she was
being treated for her own symptoms, the baby was also getting the same
chemotherapy load.”
Linsey was scared for her daughter.
“Every
time we saw her, Linsey wanted the best thing done for little Lena,”
said Barber, a maternal fetal medicine specialist at Providence Sacred
Heart Medical Center in Spokane. “And I had to remind her that sometimes
we had to think about the best things for Linsey as well. And she
didn’t want to hear that.”
Doctors waited till Lena was developed
enough to survive outside the womb and then delivered her three weeks
before her due date.
“I was so, so happy that she seemed to be
doing well and she wasn’t inside me anymore,” Linsey told TODAY. “I
wrote in her baby book 'Mommy loves you so much.'”
As soon as little Lena was delivered, doctors started Linsey’s radiation treatments.
The radiation made Linsey tired and weak. But she wasn’t the only one who was having problems.
Lena’s
immune system had been knocked back by the chemotherapy and she had no
defense against viral and bacterial infections. She was soon back in the
hospital where she could be monitored and treated until her immune
system could recover.
“We were assured that this was not permanent and it would correct itself in four to six months,” Scott wrote on the website.
But
it took only a month for little Lena to improve enough to go home. And
on Sept. 27, the family got the good news that Lena’s immune system had
bounced back to normal.
“The great thing is that the prognosis for
the child is super,” Snyderman told Guthrie. “That part of the immune
system comes right back to normal. For the mom we’re just going to have
to wait and see.”
For his part, Scott has faith that the future will bring good news. Recent tests show Linsey is on the road to remission.
“It’s
a wild ride to watch anybody go through,” he said, looking over at his
wife. “But you know, you can’t help but stand in awe. She’s amazing.”
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