Cancer now can cross from mother to baby in utero

Cancer cells have a parasitic propensity in the primary host but their capacity to transit between individuals is severely restrained by two factors: a lack of a route for viable cell transfer and immune recognition in allogeneic, secondary recipients. Several examples of transmissible animal cancers are now recognised. In humans, the only natural route for transmission is via the haemochorial placenta which is permissive for cell traffic. There are three special examples of this occurring in utero: 1. maternal to foetus,

2. intraplacental twin to twin leukaemias 3. choriocarcinoma-extra-embryonic cells to mother. 

Scientists have established beyond doubt that in rare cases cancer can be transmitted in the womb, following the birth of a baby to a woman with leukaemia.

A team at the Institute of Cancer Research, a college of the University of London, working with colleagues in Japan, found that the cancer had defied accepted theories of biology. Leukaemia cells had crossed the placenta and spread from the 28-year-old mother to her unborn baby.

There have been suspicions for years that cancer could be passed on in the womb. About 17 cases of suspected mother-to-child transmission have been noted – usually leukaemia or melanoma. But until now researchers have been unable to establish whether it had happened and, if so, how.

"Don't tan, especially if you are considering pregnancy", exclaimed by the author @melanomabook. Melanoma is one of the few cancers that can cross the placenta.

If the cells did cross the placental barrier, the child's immune system should have recognised them as foreign invaders and destroyed them.

In the latest case no one knew the mother, who was Japanese, had cancer during her pregnancy. She had a normal delivery in hospital, giving birth to an apparently healthy baby girl.

But just over a month later the mother developed vaginal bleeding, which became uncontrollable. She was diagnosed with an advanced stage of leukaemia and died.

When the baby was 11 months old she was brought to hospital with a swollen right cheek. Tests showed she had a tumour in her jaw and the cancer had spread to her lungs.