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妊娠期肝细胞癌。病例报告。

Hepatocellular carcinoma in pregnancy. A case report.

作者信息

Gisi P, Floyd R

机构信息

Department of Obstetrics and Gynecology, University of Missouri-Columbia, USA.

出版信息

J Reprod Med. 1999 Jan;44(1):65-7.

PMID:9987744
Abstract

BACKGROUND

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.

CASE

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.

CONCLUSION

Hepatocellular carcinoma in pregnancy can be successfully treated by surgical resection without adjuvant therapy; pregnancy termination is not mandatory.

摘要

背景

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。

病例

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。

结论

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。

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