妊娠期原发性腹膜后肿瘤:病例报告和文献综述

Q3 Medicine
Rafael Leonardo Aragón-Mendoza, Jaime Arenas-Gamboa, Santiago Vieira-Serna, Isaac Alfonso Juan Sierra
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引用次数: 0

摘要

目的报告一例被诊断为原发性腹膜后肿瘤的妊娠患者的病例,并对有关妊娠期这种疾病的诊断、治疗和母胎预后的文献进行综述:方法:一名 19 岁的患者在超声波检查中发现患有腹膜后肿瘤。经皮活检结果显示为良性肿瘤。剖腹产下一名健康的新生儿。四个月后进行了手术切除,组织病理学显示为成熟的囊性畸胎瘤。我们使用 "妊娠"、"肿瘤 "和 "腹膜后肿瘤 "等词在 Medline、PubMed、Lilacs、SciELO 和 ScienceDirect 数据库中进行了检索,包括妊娠期腹膜后肿瘤的病例报告和系列病例。对诊断、治疗和母胎预后进行了鉴定:结果:共发现 1658 篇文章。结果:共找到 1658 个标题,其中 34 个病例报告和 1 个系列病例符合纳入标准。在这些病例中,62.9%为良性。63%的病例是偶然发现的,77%的肿块是通过超声波检查发现的。8%的病例采用了经皮活检,包括本文报告的病例。88%的病例通常在分娩后进行手术治疗。产妇死亡率为 8.5%。65%的孕妇胎儿预后良好:结论:尽管妊娠期腹膜后肿瘤通常是良性的,但在相当多的病例中,产妇和胎儿的预后都不乐观。有必要评估经皮活检的风险和益处。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Primary retroperitoneal tumor during pregnancy: Case report and review of the literature

Objective: To report the case of a pregnant patient diagnosed with a primary retroperitoneal tumor and to conduct a review of the literature pertaining to the diagnosis, treatment and maternal-fetal prognosis of this disease condition during pregnancy.

Methods: A 19-year-old patient who presented with a retroperitoneal tumor identified on ultrasound. The results of the percutaneous biopsy showed a benign tumor. A healthy neonate was delivered by cesarean section. Surgical resection was performed four months later, and histopathology showed a mature cystic teratoma. A search was conduced in the Medline via PubMed, Lilacs, SciELO and ScienceDirect databases using the terms "pregnancy," "neoplasms," and "retroperitoneal neoplasms," including case reports and case series of retroperitoneal tumors during pregnancy. Diagnosis, treatment and maternal-fetal prognosis were identified.

Results: Overall, 1658 titles were identified. Of these, 34 case reports and 1 case series met the inclusion criteria. Of the cases, 62.9 % were benign. Diagnosis was made as an incidental finding in 63 % of cases, and 77 % of the masses were identified on ultrasound. Percutaneous biopsy was used in 8 % of cases, including the case reported here. Surgical treatment was used in 88 % of cases usually after delivery. Maternal mortality occurred in 8.5 % of cases. Fetal prognosis was good in 65 % of the pregnancies.

Conclusions: Despite being frequently benign, retroperitoneal tumors during gestation have a reserved maternal and fetal prognosis in a substantial number of cases. There is a need to assess the risks and benefits of percutaneous biopsy.

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来源期刊
Revista Colombiana de Obstetricia y Ginecologia
Revista Colombiana de Obstetricia y Ginecologia Medicine-Obstetrics and Gynecology
CiteScore
1.00
自引率
0.00%
发文量
21
审稿时长
20 weeks
期刊介绍: The Revista Colombiana de Obstetricia y Ginecología was founded in January 1949. It is the Federación Colombiana de Asociaciones de Obstetricia y Ginecología"s official periodic publication (formerly known as the Sociedad Colombiana de Obstetricia y Ginecología). It is published quarterly and the following abbreviation should be used when citing the journal: Rev. Colomb. Obstet. Ginecol. The publication is authorized by Mingobierno resolution 218/1950.
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