Tsutsui Kenji, Miki Airi, Wakita Teppei, Horibe Yuki, Tani Masaru, Kakuta Yoichi, Tsutahara Koichi, Takao Tetsuya
Department of Urology Osaka General Medical Center Osaka Japan.
IJU Case Rep. 2023 Oct 1;6(6):458-460. doi: 10.1002/iju5.12647. eCollection 2023 Nov.
Malignancy during pregnancy requires consideration of both the mother and fetus. We report a patient with renal cell carcinoma during pregnancy who was treated with robot-assisted partial nephrectomy.
The patient was incidentally found to have a renal mass on abdominal ultrasonography. Definitive diagnosis of cT1aN0M0 RCC was made by enhanced computed tomography. Subsequently, pregnancy was discovered. RAPN was performed without complications. Pathologic examination revealed clear cell RCC. There were no postoperative complications, and the baby was born safely.
RAPN can be safe and effective even during pregnancy. Every pregnant patient requires individualized treatment involving the timing of surgery, the procedure used, and management based on the condition of the mother and fetus, tumor stage, and the experience of the surgical team.
孕期恶性肿瘤需要兼顾母亲和胎儿。我们报告了一例孕期肾细胞癌患者，其接受了机器人辅助部分肾切除术治疗。
患者在腹部超声检查时偶然发现肾肿物。通过增强计算机断层扫描明确诊断为cT1aN0M0肾细胞癌。随后发现患者已怀孕。机器人辅助部分肾切除术顺利进行，无并发症发生。病理检查显示为透明细胞肾细胞癌。术后无并发症，婴儿安全出生。
即使在孕期，机器人辅助部分肾切除术也可以是安全有效的。每位孕妇都需要个体化治疗，包括手术时机、所采用的手术方式以及基于母亲和胎儿状况、肿瘤分期和手术团队经验的管理。
