Vaginal delivery after hemipelvectomy and pelvic radiotherapy for chondrosarcoma
| Autor: | H R Holtslag, J L Browne, Martijn A. Oudijk, Henk W.R. Schreuder |
|---|---|
| Přispěvatelé: | Obstetrics and Gynaecology, Other departments |
| Rok vydání: | 2014 |
| Předmět: |
Spontaneous rupture
Adult medicine.medical_specialty medicine.medical_treatment Chondrosarcoma Article Pelvis Hemipelvectomy Pregnancy Medicine Humans Proximal femur Radiotherapy business.industry Vaginal delivery Femoral Neoplasms General Medicine medicine.disease Delivery Obstetric Surgery Radiation therapy Female business Pelvic radiotherapy Rare disease |
| Zdroj: | BMJ case reports, 2014. BMJ Publishing Group |
| ISSN: | 1757-790X |
| Popis: | Chondosarcoma of the proximal femur is a rare malignant disorder in women of (pre-) childbearing age, for which a radical resection through a hemipelvectomy could be indicated. We describe a case of a 36-year-old primigravida with a hemipelvectomy (2004) who had a history of radiotherapy of the pelvic and uterine regions after an atypical cartilaginous tumour. After an uncomplicated pregnancy, she had a spontaneous rupture of the membranes at 41+2 weeks and an uncomplicated vaginal delivery with physiological development of the infant. On the basis of the literature review, vaginal delivery after hemipelvectomy should be advocated and discussed with the patient and involved care providers. Women with radiotherapy in the pelvic and uterine areas have an increased risk of stillbirth, placental attachment disorders, impaired fetal growth, fetal malposition and preterm labour, but no association with prolonged rupture of the membranes has been described. |
| Databáze: | OpenAIRE |
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