妊娠期巨大子宫STUMP:一例保留生育能力的罕见病例报告。

IF 0.3 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
Hippokratia Pub Date : 2021-10-01
I Tsakiridis, I Kalogiannidis, A Mamopoulos, T Dagklis, Ch Nikolaidou, A Athanasiadis
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引用次数: 0

摘要

背景:恶性潜能不确定的平滑肌肿瘤(STUMS)并不常见,是孕妇羊水过少的一种极为罕见的原因。病例描述:一名34岁的女性在妊娠25周时被转诊,其临床特征表明患有贫血。经腹部超声检查显示,胎儿生长适合孕龄,羊水过少,子宫有巨大肿块。在妊娠30周时,由于羊水过少和反复的不令人放心的非压力测试,进行了剖宫产,然后进行了9公斤重的子宫肌瘤切除术。产下了一名体重1350克的新生儿(Apgar评分1分:4分,5分:7分)。这名妇女在产褥期保持了生育能力,并顺利康复,而最终的组织学显示有多个STUMP。术后管理包括每六个月随访一次,持续五年。结论:这是唯一一例报告的具有这种大小STUMP的孕妇在剖宫产期间接受子宫肌瘤切除术并避免子宫切除术的病例。希波克拉蒂亚2021,25(4):169-171。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Giant uterine STUMP in pregnancy: A rare case report with preservation of fertility.

Giant uterine STUMP in pregnancy: A rare case report with preservation of fertility.

Background: Smooth muscle tumors of uncertain malignant potential (STUMPs) are infrequent and represent an extremely rare cause of oligohydramnios in pregnant women.

Description of the case: A 34-year-old woman at 25 weeks of gestation was referred with clinical features indicative of anemia. The transabdominal ultrasound revealed a fetus with appropriate growth for the gestational age, with oligohydramnios and a giant uterine mass. At 30 weeks of gestation, due to anhydramnios and repeated non-reassuring non-stress tests, a cesarean section was performed, followed by a myomectomy of a 9 kg mass. A neonate weighing 1,350 g was delivered (Apgar score 1΄: 4, 5΄: 7). The woman preserved her fertility and had an uneventful recovery during the puerperium, while the final histology revealed multiple STUMPs. The postoperative management included follow-up every six months for five years.

Conclusion: This is the only reported case of a pregnant woman with STUMPs of this size that underwent myomectomy during the cesarean section and avoided hysterectomy. HIPPOKRATIA 2021, 25 (4):169-171.

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来源期刊
Hippokratia
Hippokratia MEDICINE, GENERAL & INTERNAL-
CiteScore
1.10
自引率
0.00%
发文量
0
审稿时长
6-12 weeks
期刊介绍: Hippokratia journal is a quarterly issued, open access, peer reviewed, general medical journal, published in Thessaloniki, Greece. It is a forum for all medical specialties. The journal is published continuously since 1997, its official language is English and all submitted manuscripts undergo peer review by two independent reviewers, assigned by the Editor (double blinded review process). Hippokratia journal is managed by its Editorial Board and has an International Advisory Committee and over 500 expert Reviewers covering all medical specialties and additionally Technical Reviewers, Statisticians, Image processing Experts and a journal Secretary. The Society “Friends of Hippokratia Journal” has the financial management of both the printed and electronic edition of the journal.
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