Assuntos
Bacteriemia , Complicações do Diabetes/microbiologia , Infecções por Bactérias Gram-Positivas , Osteomielite/microbiologia , Peptostreptococcus , Derrame Pleural/microbiologia , Doenças da Coluna Vertebral/microbiologia , Vértebras Torácicas , Bacteriemia/diagnóstico , Complicações do Diabetes/diagnóstico , Infecções por Bactérias Gram-Positivas/diagnóstico , Humanos , Masculino , Pessoa de Meia-Idade , Osteomielite/diagnóstico , Derrame Pleural/diagnóstico , Doenças da Coluna Vertebral/diagnósticoRESUMO
Coexistence of a hepatocellular carcinoma with pregnancy is extremely rare. The authors present the case of an African woman positive for hepatitis B surface antigen and referred to our hospital for suspected cervical incompetence in which a surgically unapproachable hepatocellular carcinoma was diagnosed. The patient refused termination of pregnancy or liver transplantation because of religious beliefs. In this case, the authors had the opportunity to follow the growth of the mass throughout the pregnancy and puerperium.
Assuntos
Carcinoma Hepatocelular/patologia , Neoplasias Hepáticas/patologia , Complicações Neoplásicas na Gravidez/patologia , Adulto , Carcinoma Hepatocelular/sangue , Evolução Fatal , Feminino , Antígenos de Superfície da Hepatite B/sangue , Humanos , Recém-Nascido , Neoplasias Hepáticas/sangue , Masculino , Gravidez , Complicações Neoplásicas na Gravidez/sangueRESUMO
We describe a case of huge mucinous cystic tumor of the pancreas in a 26-year-old woman during pregnancy. Ultrasonography demonstrated a well-delimited cystic mass in the left upper abdominal quadrant, suggestive of benignity. Magnetic resonance imaging showed a large cystic mass resembling a mucinous cystic tumor of the pancreas. After this assessment the patient underwent surgical exploration and a huge cystic tumor of the pancreas was discovered. The tumor was enucleated and distal pancreatectomy was performed. The resected margin of the specimen was free of tumor. In this case report we discuss the management of mucinous pancreatic tumors during pregnancy and we briefly review the previously reported cases of mucinous pancreatic tumors in pregnant patients. We conclude that surgical resection of these tumors should be strongly considered in pregnancy. Removal of the tumor appears to be a safe procedure without harmful effects to the fetus.
