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Her clinical presentation included progressively worsening dyspnea and an inability to lie flat. The initial treatment consisted of a combination of rituximab, cyclophosphamide, pirarubicin, vincristine, and dexamethasone and etoposide chemotherapy. After tumor shrinkage and symptomatic improvement, the pregnancy was terminated via cesarean section, yielding a healthy neonate. Although the patient was classified as high-intermediate risk, consolidated autologous hematopoietic stem cell transplantation was not performed due to her young age. Notably, NKG2C+ natural killer cells\u2014potentially representing antitumor reactive lymphocytes\u2014were detected during the initial treatment but eventually became undetectable. 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