妊娠合并肺泡软部肉瘤伴多发脑和肺转移：一例报告及文献复习

Alveolar soft part sarcoma with multiple brain and lung metastases in pregnancy: A case report and literature review.

作者信息

Wang Yubo, Cui Jiayue, Yan Xu, Jin Rihua, Hong Xinyu

机构信息

aDepartment of Neurosurgery, First Hospital of Jilin University bDepartment of Histology and Embryology, College of Basic Medical Sciences, Jilin University cDepartment of Pathology, First Hospital of Jilin University, Changchun, Jilin, P.R. China.

出版信息

Medicine (Baltimore). 2017 Nov;96(46):e8790. doi: 10.1097/MD.0000000000008790.

DOI:10.1097/MD.0000000000008790

PMID:29145339

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5704884/

Abstract

RATIONAL

Alveolar soft part sarcomas (ASPSs) with multiple brain metastases in pregnancy is a rare entity.

PATIENT CONCERNS

We report our experience with a 19-year-old pregnant woman who presented with intermittent headaches and vomiting at 38 weeks gestation.

DIAGNOSES

The patient was initially diagnosed as brain metastasis according to computed tomography and magnetic resonance imaging (MRI) imaging.

INTERVENTIONS

Cesarean section and craniotomy (complete resection of both brain metastatic lesions) was performed sequentially.

OUTCOMES

A healthy baby girl was delivered safely and no neonatal malformations were found. Histological analysis confirmed the diagnosis of ASPS. Follow-up MRI performed 10 months after surgery revealed no residual tumor or signs of recurrence.

LESSONS

We report a case of ASPS with multiple brain and lung metastases in a pregnant woman. We recommend timely MRI examination for diagnosis and have discussed the approach to the treatment of pregnant women with brain metastasis.

摘要