Musculoskeletal Tumors in Extremities Diagnosed During the Gestational Period: Case Series and Literature Review
Por:
De La Calva Ceinos C, Copete I, Angulo M, Ferrás J, Amaya, J., V, Baixauli F
Publicada:
1 ene 2022
Resumen:
Given the low incidence of musculoskeletal tumors during pregnancy,
publications on the subject are scarce and treatment guidelines
nonexistent.
We present five cases of musculoskeletal tumors in pregnant women, three
with metastasizing malignant neoplasms and two with aggressive giant
cell tumors. The three patients diagnosed during their gestational
period were operated before the end of pregnancy, adapting surgical
techniques to minimize risk to mother and fetus. Adjuvant therapies were
postponed until the end of gestation. All newborns were delivered at
term vaginally, except for one where a cesarean section was required.
After a mean follow-up of 69.96 months (+/- 56.38), all patients were
free of disease, except for the one diagnosed with an extraskeletal
myxoid chondrosarcoma who died at 4 years from diagnosis.
Surgery plays a key role in the treatment of musculoskeletal tumors
diagnosed during pregnancy. These patients must be treated by
multidisciplinary teams at sarcoma reference hospitals, involving the
obstetrics team in the decision-making process, and adapting each step
of the diagnosis and treatment to the gestational period.
Direcciones
De La Calva Ceinos C:
1Musculoskeletal Oncology Unit. Department of Orthopedic and Trauma Surgery, La Fe University Polyclinical Hospital, Valencia, Spain
Copete I:
1Musculoskeletal Oncology Unit. Department of Orthopedic and Trauma Surgery, La Fe University Polyclinical Hospital, Valencia, Spain
Angulo M:
1Musculoskeletal Oncology Unit. Department of Orthopedic and Trauma Surgery, La Fe University Polyclinical Hospital, Valencia, Spain
Ferrás J:
1Musculoskeletal Oncology Unit. Department of Orthopedic and Trauma Surgery, La Fe University Polyclinical Hospital, Valencia, Spain
Amaya, J., V:
1Musculoskeletal Oncology Unit. Department of Orthopedic and Trauma Surgery, La Fe University Polyclinical Hospital, Valencia, Spain
Baixauli F:
1Musculoskeletal Oncology Unit. Department of Orthopedic and Trauma Surgery, La Fe University Polyclinical Hospital, Valencia, Spain
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