Dilemmas in primary spinal glioblastoma management during pregnancy
| Autor: | A. Panzina, A. Milheiro, E. Ferreira, I. Aguiar, M. Paiva, R. Pontes |
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| Rok vydání: | 2020 |
| Předmět: |
Pregnancy
Pediatrics medicine.medical_specialty education.field_of_study business.industry Pregnant patient Population Rare entity General Medicine Malignancy medicine.disease law.invention Intramedullary rod 03 medical and health sciences 0302 clinical medicine Elective Caesarean Delivery law 030220 oncology & carcinogenesis medicine education business 030217 neurology & neurosurgery Glioblastoma |
| Zdroj: | Revista Española de Anestesiología y Reanimación (English Edition). 67:347-350 |
| ISSN: | 2341-1929 |
| DOI: | 10.1016/j.redare.2020.06.001 |
| Popis: | Primary spinal glioblastoma (GBM) is a clinically rare entity with rapid progression and a dismal outcome despite aggressive treatment. In a pregnant woman, this malignancy is particularly dramatic because the potential benefits to the mother offered by standard GBM treatment must be balanced against the risks to the fetus. There is little guidance in the literature on how to manage pregnant patients with malignant neuraxial tumours and, to the authors' knowledge, no reports have been published so far regarding this specific neoplasm in such population. This case report describes the management of a pregnant patient with a previously undiagnosed and rapidly progressive intramedullary GBM submitted to an elective caesarean delivery to allow subsequent onset of oncological treatment. Dilemmas faced by anaesthetists are discussed in hope to provide guidance for future decisions and optimize outcomes. |
| Databáze: | OpenAIRE |
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