Pereverzev A S, Shchukin D V, Iliukhin Iu A, Iaroslavskiĭ V L, Mys'ko S Ia, Megera V V
Urologiia. 2005 May-Jun(3):3-6.
The article presents a retrospective analysis of literature data on combination of renal tumors with pregnancy, three cases are reported. The diagnostic algorithm in such patients is based, first of all, on ultrasonography, in complicated cases MR imaging is used. Therapeutic policy depends on the tumor stage and size, pregnancy term. Urgent radical nephrectomy is recommended in trimester I and III. Follow-up with delivery may be employed upon 28 week pregnancy in trimester II. Basic therapeutic algorithm of renal angiomyolipoma is follow-up. To make a final conclusion on efficacy of therapeutic policy, it is necessary to conduct a multicenter prospective trial aimed at assessment of long-term results of each therapy.
本文对肾肿瘤合并妊娠的文献数据进行了回顾性分析,并报告了3例病例。此类患者的诊断算法首先基于超声检查,在复杂病例中使用磁共振成像。治疗策略取决于肿瘤分期、大小和孕周。建议在妊娠第一和第三孕期进行急诊根治性肾切除术。在妊娠第二孕期,若妊娠达到28周,可选择随访至分娩。肾血管平滑肌脂肪瘤的基本治疗算法是随访。为了对治疗策略的疗效得出最终结论,有必要开展一项多中心前瞻性试验,以评估每种治疗方法的长期效果。