Tumores renais na gestação
Palabras clave:
cirurgia, gravidez, neoplasias renaisResumen
O câncer renal é uma doença infreqüente, raramente associada à gravidez. Com o aumento do uso da ultra-sonografia obstétrica, mais casos estão sendo diagnosticados incidentalmente. Exemplificamos esta situação descrevendo um caso de uma gestante com diagnóstico de tumor renal, cujo tratamento cirúrgico foi realizado durante a gravidez, com excelentes resultados maternos e neonatais. A partir deste exemplo, foi revisado os aspectos epidemiológicos, clínicos, obstétricos e terapêuticos do câncer renal durante a gravidez, com ênfase no diagnóstico e no planejamento do tratamento dessas mulheres.
Descargas
Citas
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.