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妊娠期巨大腹膜后脂肪肉瘤手术治疗成功。

Successful outcome of a surgically treated giant retroperitoneal liposarcoma during pregnancy.

机构信息

Department of Surgery, University of São Paulo School of Medicine, Brazil.

出版信息

Arch Gynecol Obstet. 2009 Dec;280(6):1067-9. doi: 10.1007/s00404-009-1061-9. Epub 2009 Apr 5.

Abstract

BACKGROUND

Retroperitoneal liposarcomas occur more frequently between the fifth and seventh decades. Fortunately, these tumors are exceedingly rare in pregnancy, but when they occur, their management becomes even more challenging.

CASE

A pregnant patient with a retroperitoneal liposarcoma was treated by complete surgical resection at 13 weeks of gestation. The patient gave birth at 37 weeks of gestation to a normal newborn and remains free of disease after a year.

CONCLUSIONS

Individualized approach should be taken according to gestational phase, tumor kinetics and overall patient's condition. Any disturbance to materno-fetal equilibrium, should be an indication for urgent therapeutic approach.

摘要

背景

腹膜后脂肪肉瘤多发生于五、七十岁。所幸,此类肿瘤在妊娠期间极为罕见,但当它们发生时,其处理就更具挑战性。

病例

一位腹膜后脂肪肉瘤的孕妇于妊娠 13 周时接受了完全手术切除。患者于妊娠 37 周时分娩出一名正常新生儿,且在一年后仍无疾病。

结论

应根据妊娠阶段、肿瘤动力学和患者整体状况采取个体化方法。任何对母婴平衡的干扰都应是紧急治疗的指征。

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