Akhanoba Folasade, Zill-E-Huma Rabia, Pollock Rob, Edwards Sarah J E
Obstetrics and Gynaecology, Lister Hospital, Stevenage, UK.
Trauma and Orthopaedics, Royal National Orthopaedic Hospital, Stanmore, UK.
BMJ Case Rep. 2019 Jan 29;12(1):e227646. doi: 10.1136/bcr-2018-227646.
We present a first case of synovial sarcoma in an HIV-positive pregnant woman. This 28-year-old woman was diagnosed with synovial sarcoma, a high-grade malignant soft tissue sarcoma, involving her left thigh during the first trimester of her pregnancy. She underwent surgical treatment in the form of hip disarticulation at 30 weeks' gestation. She was subsequently delivered by emergency caesarean section (CS) at 34 weeks' gestation when she presented with wound sepsis and a scan revealed static growth in a small for gestational age fetus. Prompt diagnosis and treatment of this aggressive tumour is important and should involve a multidisciplinary approach, with a balanced consideration of the maternal and fetal outcomes.
我们报告了首例感染艾滋病毒的孕妇患滑膜肉瘤的病例。这位28岁的女性在怀孕的头三个月被诊断出患有滑膜肉瘤，这是一种高级别恶性软组织肉瘤，累及她的左大腿。她在妊娠30周时接受了髋关节离断术的手术治疗。随后，在妊娠34周时，她因伤口感染出现败血症，经扫描发现胎儿小于孕周且生长停滞，遂紧急行剖宫产。对这种侵袭性肿瘤进行及时诊断和治疗很重要，应采用多学科方法，同时平衡考虑母婴结局。
