Case Reports in Women's Health最新文献_第6页

Marginal resection preferred over radical resection for a large abdominal wall desmoid tumor during pregnancy: A case report 妊娠期腹壁大硬纤维瘤边缘切除优于根治性切除1例

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Case Reports in Women's Health Pub Date : 2025-03-13 DOI: 10.1016/j.crwh.2025.e00701

Riku Watanabe , Hiroki Shinmura , Yasuyuki Yokoyama , Takashi Matsushima

{"title":"Marginal resection preferred over radical resection for a large abdominal wall desmoid tumor during pregnancy: A case report","authors":"Riku Watanabe , Hiroki Shinmura , Yasuyuki Yokoyama , Takashi Matsushima","doi":"10.1016/j.crwh.2025.e00701","DOIUrl":"10.1016/j.crwh.2025.e00701","url":null,"abstract":"<div><div>Desmoid tumors are locally aggressive soft-tissue tumors known for their lack of metastatic potential but high recurrence rate after resection. Few cases of desmoid tumors during pregnancy have been reported, making treatment decisions more challenging.</div><div>This report presents the case of a woman with an abdominal wall desmoid tumor resected at 17 weeks of gestation. The large mass (13.4 cm × 7.4 cm) was compressing the uterus, which necessitated surgical intervention. Marginal resection of the tumor was performed with microscopically positive margins. The patient's postoperative course was uneventful, and she had a normal vaginal delivery at 38 weeks. No recurrence of the tumor was observed at 24-month follow-up. This case represents the largest pregnancy-related abdominal desmoid tumor (22 cm × 12 cm) resected marginally during pregnancy. The procedure allowed for a vaginal delivery rather than a cesarean section.</div><div>Surgical management of desmoid tumors in pregnancy should aim to remove the tumor while preserving function and anatomical integrity. While this approach is feasible for smaller tumors, larger tumors, as in this case, may result in loss of function and anatomical structure. This raises the question of whether marginal resection should be considered when preservation of function and structure is not feasible with radical resection. This case reinforces the fundamental surgical principle that when clear surgical margins cannot be achieved without compromising function and structure, marginal resection should be considered.</div></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"46 ","pages":"Article e00701"},"PeriodicalIF":0.7,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143683209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Glanzmann's thrombasthenia in a twin pregnancy: A case report 双胎妊娠的Glanzmann血栓缺乏症1例

IF 0.7

Case Reports in Women's Health Pub Date : 2025-03-07 DOI: 10.1016/j.crwh.2025.e00697

Vicky X. Xu , Shaun P. Brennecke

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Vaginocutaneous fistula caused by recurrent labial abscess: A case report 复发性唇脓肿致阴道皮肤瘘1例

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Case Reports in Women's Health Pub Date : 2025-03-06 DOI: 10.1016/j.crwh.2025.e00698

Komkrit Aimjirakul, Teerapan Seehanantawong, Apisith Saraluck

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Dengue fever in pregnancy 孕期登革热

IF 0.7

Case Reports in Women's Health Pub Date : 2025-03-01 DOI: 10.1016/j.crwh.2025.e00685

Adesh Sirjusingh

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Prolapse in pregnancy 妊娠脱垂

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Case Reports in Women's Health Pub Date : 2025-03-01 DOI: 10.1016/j.crwh.2025.e00686

Annika Taithongchai, Dudley Robinson

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Towards a greater understanding of uterine sarcomas 对子宫肉瘤有更深入的了解

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Case Reports in Women's Health Pub Date : 2025-03-01 DOI: 10.1016/j.crwh.2025.e00683

Raji Ganesan

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Isolated abdominal wall metastasis 42 years after curative surgery for ovarian cancer: A case report 卵巢癌根治术后42年孤立性腹壁转移1例

IF 0.7

Case Reports in Women's Health Pub Date : 2025-02-20 DOI: 10.1016/j.crwh.2025.e00696

Roland Csorba , Paul Buderath , Marc Ingenwerth , Sa'ed Almasarweh , Zeynep Atas Elfrink

{"title":"Isolated abdominal wall metastasis 42 years after curative surgery for ovarian cancer: A case report","authors":"Roland Csorba , Paul Buderath , Marc Ingenwerth , Sa'ed Almasarweh , Zeynep Atas Elfrink","doi":"10.1016/j.crwh.2025.e00696","DOIUrl":"10.1016/j.crwh.2025.e00696","url":null,"abstract":"<div><div>Despite the rarity of abdominal or chest wall metastases in ovarian cancer patients, reports have described instances of isolated late recurrence at surgical incision sites. We report the case of an 85-year-old woman who present with a massive metastatic tumor on the right anterior abdominal wall 42 years after undergoing a total abdominal hysterectomy and bilateral salpingo-oophorectomy for primary ovarian cancer. The abdominal wall tumor was resected en bloc, and abdominal wall reconstruction was performed using a mesh. Histology revealed a low-grade serous carcinoma.</div><div>This report highlights the possibility of abdominal wall metastases after prolonged survival following the treatment of ovarian cancer. Surgical excision combined with mesh reconstruction represents an adequate treatment approach for such cases. Caution should be exercised during laparotomy to ensure complete removal of malignant tissue and to prevent parietal dissemination. Long-term follow-up is crucial for ovarian cancer patients, as late recurrences, although rare, can occur even decades after initial treatment.</div></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"45 ","pages":"Article e00696"},"PeriodicalIF":0.7,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143479041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Transient bacteraemia secondary to imiquimod use as a treatment for cervical high-grade squamous intraepithelial lesions – A case report 咪喹莫特治疗宫颈高级别鳞状上皮内病变继发短暂性菌血症1例报告

IF 0.7

Case Reports in Women's Health Pub Date : 2025-02-11 DOI: 10.1016/j.crwh.2025.e00694

Caroline L.P. Muntinga , Sophieke C.H.A. van der Steen , Edith M.G. van Esch , Sander Kelderman

引用次数: 0

Postpartum choriocarcinoma complicated by uterine perforation: A case report and literature review 产后绒毛膜癌并发子宫穿孔1例并文献复习

IF 0.7

Case Reports in Women's Health Pub Date : 2025-02-04 DOI: 10.1016/j.crwh.2025.e00693

Rayan R. Salahaldin, Mais E. Abubaker, Ghada M. Abdalqader, Anas R. Tuqan, Basel A. Zaben, Iba Barghouthi

引用次数: 0

Co-occurrence of a Mullerian anomaly and Kallmann syndrome: A case report 缪勒氏管异常与卡尔曼综合征共现1例

IF 0.7

Case Reports in Women's Health Pub Date : 2025-02-04 DOI: 10.1016/j.crwh.2025.e00692

Lea C. George , Rebecca Gendelman , Anat Chemerinski , Pierre Lespinasse , Inessa A. Goldman , Sara Morelli

{"title":"Co-occurrence of a Mullerian anomaly and Kallmann syndrome: A case report","authors":"Lea C. George , Rebecca Gendelman , Anat Chemerinski , Pierre Lespinasse , Inessa A. Goldman , Sara Morelli","doi":"10.1016/j.crwh.2025.e00692","DOIUrl":"10.1016/j.crwh.2025.e00692","url":null,"abstract":"<div><div>The evaluation of primary amenorrhea requires a thoughtful assessment for hormonal, structural and/or genetic causes. Although most cases of primary amenorrhea are caused by a single pathology, rarely multiple pathologies may be uncovered. We present the case of a 33-year-old woman with a history of pubertal failure and primary amenorrhea due to Kallmann syndrome. She reported previous short-term use of hormone replacement therapy, with onset of severe pelvic pain and vaginal bleeding following its discontinuation. Her workup revealed concern for uterine didelphys with OHVIRA syndrome on MRI. Surgical exploration revealed a normal-appearing vagina and cervix communicating with the left uterine horn and fallopian tube, a separate, contralateral, obstructed, and engorged right uterine horn with cervix and obstructed vagina, and normal ovaries bilaterally. She underwent laparoscopic resection of the obstructed right hemiuterus with right salpingectomy. Estrogen replacement therapy was initiated postoperatively with cyclic progestins, and she experienced complete resolution of her pain. In the workup of primary amenorrhea, it is important to consider that more than one pathology may be present. A thorough endocrine, genetic, and anatomic evaluation is imperative prior to confirming the diagnosis and initiating treatment. Kallmann syndrome has rarely been reported with Mullerian anomalies; in this case it represents a scenario in which the induction of puberty and menses brought an obstructive anomaly to light. The possibility of co-occurring pathologies should always be considered to provide optimal care to the patient.</div></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"45 ","pages":"Article e00692"},"PeriodicalIF":0.7,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143372727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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