Oh Sang Eun, Kim Hyun Joo, Choi Suk-Joo, Oh Soo-Young, Roh Cheong-Rae, Kim Jong-Hwa
Department of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Obstet Gynecol Sci. 2014 May;57(3):236-9. doi: 10.5468/ogs.2014.57.3.236. Epub 2014 May 15.
A 39-year-old woman was referred to our hospital at 28+2 week gestation. Routine obstetric examination revealed a palpable pelvic mass. Initial investigation by magnetic resonance imaging demonstrated a huge solid mass with heterogeneous enhancement that completely filled the right side of the abdomen. She underwent two surgeries: a programmed cesarean section by Department of Obstetrics and Gynecology team and a laparotomy performed by the General Surgery team. Final diagnosis was de-differentiated liposarcoma (French Federation Nationale des Centres de Lutte Contre le Cancer grade 2/3). She has been treated with radiation therapy focusing on high risk area of retroperitoneum followed by adjuvant chemotherapy (doxorubicin and ifosfamide). Below is the full case with literature review.
一名39岁女性在妊娠28 + 2周时被转诊至我院。常规产科检查发现盆腔可触及肿块。磁共振成像初步检查显示一个巨大的实性肿块,增强不均匀,完全占据了腹部右侧。她接受了两次手术:妇产科团队进行的计划性剖宫产以及普通外科团队进行的剖腹手术。最终诊断为去分化脂肪肉瘤(法国国立癌症中心联合会2/3级)。她接受了针对腹膜后高危区域的放射治疗,随后进行辅助化疗(多柔比星和异环磷酰胺)。以下是完整病例及文献综述。