Neoplasia cística mucinosa do pâncreas durante a gestação: Relato de Caso / Mucinous cystic neoplasm of the pancreas during pregnancy: Case Report

O objetivo deste estudo é relatar o caso de uma gestante de 20 anos portadora de neoplasia cística mucinosa do pâncreas. Evidências sugerem que essa neoplasia é dependente dos hormônios estrógeno-progesterona levando a um importante crescimento durante a gestação e ainda apresentar, mesmo baixo, um potencial para degeneração maligna. O motivo deste relato é a raridade da doença associada a gestação em uma paciente tão jovem. Foi realizada pancreatectomia corpo-caudal no segundo trimestre da gestação com boa evolução materna e fetal.

The aim of this study is to report the case of a 20 years old pregnant woman with a mucinous cystic neoplasm of the pancreas. Evidence suggests that this neoplasm is dependent on estrogen-pro-gesterone leading to a significant growth during pregnancy and beyond this a potential malignant degeneration, even low. The reason of this case-study is the rarity of the disease associated with pregnancy in a patient so young. A body-tail pancreatectomy was performed in the second trimester of pregnancy with good maternal and fetal outcomes.

[Intrapartum management strategies for congenital cervical teratoma: the EXIT procedure (ex utero intrapartum treatment)]. / Estratégia de conduta intraparto no teratoma cervical congênito: procedimento EXIT (tratamento extra-útero intraparto).

Cervical teratomas are 3 to 5% of all teratomas and have an incidence of 1:20,000 to 1:40,000 live-borns. M.J.F., 31-years-old, had done a routine scan during pregnancy that evidenced a large fetal neck mass with teratoma cervical sonographic aspect. An interdisciplinary reunion decided for expectant management until pregnancy term when C section with EXIT procedure would be performed. At 34 weeks occurred spontaneous preterm labor and the interdisciplinary team was contacted. After head exteriorization a large neck mass was noticed. The EXIT procedure was performed allowing a tranquil orotracheal intubation while placental circulation was sustained. At third day the patient presented hypoxia, decreased heart rate and central cyanosis developing cardiorespiratory failure with unsuccessful response to resuscitation. Cervical teratoma is a rare fetal condition that is very important an interdisciplinary approach performing EXIT procedure to allow an adequate respiratory assistance at delivery. Intensive neonatal care is essential to improve patient outcome.