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妊娠晚期肾透明细胞癌和胃肠道间质瘤的快速进展性生长:临床与诊断难题

Rapidly progressive growth of Renal Clear Cell Carcinoma and Gastrointestinal Stromal Tumor during the 3rd trimester of pregnancy: A clinical and diagnostic dilemma.

作者信息

Dey Sumantra, Pakrasi Rupesh, Saha Dipti, Datta Shreya

机构信息

Department of Urology, Calcutta National Medical College and Hospital, 32 Gorachand Road, Beniapukur, Kolkata, West Bengal 700014, India.

Nilratan Sircar Medical College and Hospital, 138 Acharya Jagadish Chandra Bose Road, Sealdah, Kolkata, West Bengal 700014, India.

出版信息

Urol Case Rep. 2021 Oct 12;40:101891. doi: 10.1016/j.eucr.2021.101891. eCollection 2022 Jan.

Abstract

The incidence of cancer among pregnancy, albeit rare, presents as a significant diagnostic challenge for clinicians especially with considerations for materno-fetal well-being. The double-edged sword of Renal Clear Cell Carcinoma and Gastrointestinal Stromal Tumor in near-term pregnant woman was encountered in our case and skillfully maneuvered via combination of advanced diagnostic techniques involving CT, MRI and endoscopy. A discussion board comprising of experts was set up and after extended consultation involving patient's relatives, elective cesarean was performed at 34 weeks after which surgical excision resulted in successful extraction of both the tumors, ensuring the survival of both mother and child.

摘要

癌症在孕期的发病率虽低,但对临床医生而言却是一项重大的诊断挑战,尤其是在考虑母婴健康的情况下。我们的病例中遇到了晚期妊娠妇女肾透明细胞癌和胃肠道间质瘤这把双刃剑,并通过结合CT、MRI和内窥镜检查等先进诊断技术巧妙应对。我们设立了一个由专家组成的讨论小组,在与患者亲属进行深入协商后,于34周时进行了选择性剖宫产,随后手术切除成功取出了两个肿瘤,确保了母婴平安。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c786/8528680/859c10820fd4/gr1.jpg

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