Tiang Kor Woi, Ng Keng Lim, Vega-Vega Antonio, Wood Simon
The University of Queensland, Brisbane, Australia; Department of Surgery, University Malaya, Kuala Lumpur, Malaysia; Department of Urology, Princess Alexandra Hospital, Brisbane, Australia; Rockhampton Hospital, Rockhampton, Australia.
J Kidney Cancer VHL. 2014 Apr 22;1(1):12-16. doi: 10.15586/jkcvhl.2014.6. eCollection 2014.
Urological tumors diagnosed during pregnancy are rare. However, the incidence seems to be increasing largely due to advancements in modern imaging techniques and improved antenatal care. The diagnosis and management of renal tumors during pregnancy poses a dilemma to clinicians. This case report highlights the challenges in managing a large chromophobe renal cell carcinoma in a young primigravida patient. Proper antenatal assessment, a multidisciplinary team approach and appropriate discussion with patient are important determinants to achieve the best clinical outcomes for both the mother and the baby.
孕期诊断出的泌尿系统肿瘤较为罕见。然而,由于现代成像技术的进步和产前护理的改善,其发病率似乎在大幅上升。孕期肾肿瘤的诊断和管理给临床医生带来了两难境地。本病例报告强调了在一名年轻初产妇中管理巨大嫌色肾细胞癌所面临的挑战。适当的产前评估、多学科团队方法以及与患者进行适当的讨论是实现母婴最佳临床结局的重要决定因素。