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病例报告:孕期T2期肾细胞癌的腹膜后腹腔镜下肾部分切除术

Case Report: Retroperitoneal Laparoscopic Partial Nephrectomy for T2 Renal Cell Carcinoma During Pregnancy.

作者信息

Dong Jie, Zhao Yi, Xu Weifeng

机构信息

Urology Department of Peking Union Medical College Hospital, Beijing, China.

出版信息

Front Oncol. 2020 Oct 14;10:552228. doi: 10.3389/fonc.2020.552228. eCollection 2020.

Abstract

Renal cell carcinoma (RCC) found during pregnancy is rare. Treatment strategies and timing of surgeries are controversial. Retroperitoneal laparoscopic partial nephrectomy for T2 RCC during pregnancy has not been reported before. Herein, we report a case of T2 RCC found in a 36-year-old woman during her 21st week of pregnancy. Both ultrasound and magnetic resonance imaging (MRI) suggested a malignancy, possibly renal cell carcinoma. After discussion with a multidisciplinary team, the tumor was removed completely via retroperitoneal laparoscopic partial nephrectomy, and pathology result was clear cell RCC. A male infant was delivered full-term uneventful, and both the patient and the boy were in good health after a 46-month follow-up. Partial nephrectomy with retroperitoneal laparoscopic technique is feasible and recommended in some T2 RCC patients.

摘要

孕期发现的肾细胞癌(RCC)很罕见。治疗策略和手术时机存在争议。此前尚未有关于孕期T2期肾细胞癌行腹膜后腹腔镜下部分肾切除术的报道。在此,我们报告一例在孕21周时于一名36岁女性中发现的T2期肾细胞癌病例。超声和磁共振成像(MRI)均提示为恶性肿瘤,可能是肾细胞癌。在与多学科团队讨论后,通过腹膜后腹腔镜下部分肾切除术将肿瘤完全切除,病理结果为透明细胞肾细胞癌。一名男婴足月顺产,母婴平安,经过46个月的随访,患者和婴儿均健康状况良好。对于一些T2期肾细胞癌患者,腹膜后腹腔镜技术行部分肾切除术是可行的且值得推荐。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4af8/7591673/801e8393ff53/fonc-10-552228-g0001.jpg

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