RENAL TUMOURS ANO PREGNANCY
Keywords:
surgery, pregnancy, kidney neoplasmsAbstract
Renal cancer is an infrequent disease, rarely associated with pregnancy. With increasing use of routine obstetric ultrasonography, more cases wi/1 be incidentally diagnosed. We describe a case that illustrates this situation in a pregnant women with a diagnosis of renal tumor, whose surgical treatment was performed during pregnancy, with exce!!ent maternal and neonatal outcomes. ln this paper we also revise the epidemiological, clinica!, obstetrical and therapeutic aspects of renal cancer during pregnancy, with emphasis on the diagnosis and treatment planning for these women.
Downloads
References
Loughlin KR. The management of urological malignancies during pregnancy. Br J Urol. 1995; 76(5):639-44.
Zweizig SL. Cancer of the kidney. Clin Obstet Gynecol. 2002; 45(3):884-91.
Weisz B, Schiff E, Lishner M. Cancer in pregnancy: maternal and fetal implications. Human Reprod Update. 2001; 7(4):384-93.
Doll DC, Ringenberg OS, Yarbro JW. Management of cancer during pregnancy. Arch lntern Med. 1988; 148(9):2058-64
Qureshi F, Gabr A, Eltayeb AA. Renal cell carcinoma (chromophobe type) in the first trimester of pregnancy. Scand J Urol Nephrol. 2002; 36(3):228-30.
Chow WH, Mclaughlin JK, Mandei JS, Blot WJ, Niwa S, Fraumeni JF Jr. Reproductive factors and risk of renal cell cancer among women. lnt J Cancer. 1995; 60(3):321-4.
Lambe M, Lindblad P, Wuu J, Remler R, Hsieh CC. Pregnancy and risk or renal cell cancer: a population based study in Sweden. Br J Cancer. 2002; 86(9):1425- 9.
Mydlo JH, Chawla S, Dorn S, Volpe MA, Shah S, lmperato PJ. Renal cell cancer and pregnancy in two different female cohorts. Can J Urol. 2002; 9(5):1634-6.
Brent RL. The effect of embryonic and fetal exposure to x-rays, microwaves and ultrasound: counseling the pregnant and non-pregnant patients about these risks. Semin Oncol. 1989; 16(5):347-68.
Guidelines for diagnostic imaging during pregnancy. The American College of Obstetricians and Gynecologists. lnt J Gynecol Obstet. 1995; 51(3):288-91.
Cunningam FG, MacDonald PC, Gant NF, et ai. General considerations and maternal evaluation. ln: Williams Obstetrics. 20th. New York: Appleton & Lange; 1997. p.1045-57.
Thrasher JB, Paulson DF. Prognostic factors in renal cancer. Urol Clin North Am. 1993; 20(2):247-62.
Klein VR, Laifer S, Timoll EA, Repke JT. Renal cell carcinoma in pregnancy. Obstet Gynecol. 1987; 69(3 Pt2):531-33.
Guven S, Guvendag Guven ES, lslamoglu E, Gunalp GS, Ozen H. Succesful mangement of chromophobe type renal cell carcinoma in pregnancy. Aust N Z J Obstet Gynecol. 2004; 44(4):362-3.
Gross AJ, Zõller G, Hermanns M, Ringert RH. Renal cell carcinoma during pregnancy. Br J Urol. 1995; 75(2):254-5.
