Gisi P, Floyd R
Department of Obstetrics and Gynecology, University of Missouri-Columbia, USA.
J Reprod Med. 1999 Jan;44(1):65-7.
Hepatocellular carcinoma presenting in pregnancy is very rare, and experience treating this condition is limited. Past reports have emphasized the need for pregnancy termination as part of treatment.
A young, otherwise healthy woman was diagnosed with hepatocellular carcinoma in the second trimester. Her only risk factor was a six-year history of oral contraceptive use. She opted to maintain the pregnancy and was treated with surgical resection in the form of a right hepatectomy. Both she and her child were alive and well 24 months following surgery.
Hepatocellular carcinoma in pregnancy can be successfully treated by surgical resection without adjuvant therapy; pregnancy termination is not mandatory.
孕期出现肝细胞癌非常罕见,治疗这种疾病的经验有限。过去的报告强调终止妊娠是治疗的一部分。
一名年轻、其他方面健康的女性在孕中期被诊断为肝细胞癌。她唯一的风险因素是有6年口服避孕药史。她选择继续妊娠,并接受了右半肝切除术形式的手术切除治疗。术后24个月,她和她的孩子均存活且状况良好。
孕期肝细胞癌可通过手术切除成功治疗,无需辅助治疗;终止妊娠并非必需。