| Autor: |
Moritz, Völler, Walid, Mahmud, Stefan, Vallo, Markus, Grabbert, Patricia, John, Wael Y, Khoder |
| Rok vydání: |
2021 |
| Předmět: |
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| Zdroj: |
The American Journal of Case Reports |
| ISSN: |
1941-5923 |
| Popis: |
Patient: Female, 27-year-old Final Diagnosis: Renal cell carcinoma Symptoms: Asymptomatic Medication: — Clinical Procedure: — Specialty: Oncology • Urology Objective: Rare disease Background: Large renal tumors during pregnancy are rare findings (0.07–0.1%). Current guidelines recommend surgical removal. This surgery should be carefully planned in an interdisciplinary team and involves special risks for mother and fetus. This report describes a case of a 27-year-old primigravida woman with a right renal cell carcinoma involving the lower pole of the kidney, which was removed at 30 weeks of gestation by robot-assisted retroperitoneoscopic partial nephrectomy (RARPN). Case Report: The patient was referred by the treating obstetrician with a newly diagnosed right lower pole renal mass of 6×4 cm in greatest diameter extending deeply into the parenchyma. No metastasis or enlarged lymph nodes were described in subsequent magnetic resonance tomography. Clinical and laboratory examinations documented a healthy mother and fetus. A right-sided RARPN was advised and planned by an interdisciplinary team of treating physicians (gynecologists, oncologists, and urologists). The surgery was conducted under general anesthesia with an obstetrician on stand-by. Surgery was performed without any complications (operation time 95 min, renal-ischemia time 15 min, and negligible blood loss) and histopathology confirmed the diagnosis of a chromophobe renal cell carcinoma. Further follow-up consultations showed regular wound healing and normal progression of pregnancy, and the patient gave birth to a healthy child at term. Follow-up examinations of the patient were uneventful. Conclusions: This case shows that RARPN can be a safe and effective surgical procedure for partial nephrectomy during pregnancy, where surgery is performed in a specialist center and by an interdisciplinary experienced surgical team. It seems to offer advantages and better risk profile over the laparoscopic approach. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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