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Relato de Caso
Desmoid tumor of the abdominal wall during pregnancy: a case report
Revista Brasileira de Ginecologia e Obstetrícia. 2005;27(5):283-288
08-26-2005
Summary
Relato de CasoDesmoid tumor of the abdominal wall during pregnancy: a case report
Revista Brasileira de Ginecologia e Obstetrícia. 2005;27(5):283-288
08-26-2005DOI 10.1590/S0100-72032005000500009
Views112See moreDesmoid tumors are neoplasms of the conjunctive tissue that are characterized by exclusive locoregional growth, frequent recurrence and minimal metastatic potential. They mainly affect individuals with familial adenomatous polyposis of the colon, and rarely occur isolated. The single form of this neoplasm most frequently appears in women of reproductive age, and during pregnancy. A case of a desmoid tumor of large proportions located in the abdominal wall is described. It appeared at the 17th week of pregnancy in a woman without any history of familial adenomatous polyposis. The neoplasm was totally extirpated, with the use of a polypropylene prosthesis for reconstitution of the abdominal wall. One year after the surgery, the patient continues to be well, while using non-steroidal anti-inflammatory drugs for the prevention of relapses.
Views112
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Summary
Relato de CasoDesmoid tumor of the abdominal wall during pregnancy: a case report
Revista Brasileira de Ginecologia e Obstetrícia. 2005;27(5):283-288
08-26-2005DOI 10.1590/S0100-72032005000500009
Views112See moreDesmoid tumors are neoplasms of the conjunctive tissue that are characterized by exclusive locoregional growth, frequent recurrence and minimal metastatic potential. They mainly affect individuals with familial adenomatous polyposis of the colon, and rarely occur isolated. The single form of this neoplasm most frequently appears in women of reproductive age, and during pregnancy. A case of a desmoid tumor of large proportions located in the abdominal wall is described. It appeared at the 17th week of pregnancy in a woman without any history of familial adenomatous polyposis. The neoplasm was totally extirpated, with the use of a polypropylene prosthesis for reconstitution of the abdominal wall. One year after the surgery, the patient continues to be well, while using non-steroidal anti-inflammatory drugs for the prevention of relapses.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. -
Relato de Caso
Visceral leishmaniasis (kala-azar) and pregnancy: a case report
Revista Brasileira de Ginecologia e Obstetrícia. 2005;27(2):92-97
07-06-2005
Summary
Relato de CasoVisceral leishmaniasis (kala-azar) and pregnancy: a case report
Revista Brasileira de Ginecologia e Obstetrícia. 2005;27(2):92-97
07-06-2005DOI 10.1590/S0100-72032005000200009
Views123See moreVisceral leishmaniasis (VL) is an endemic disease in the state of Mato Grosso do Sul, Brazil, mainly in the areas near the Paraguay and Paraná rivers. An increasing number of cases have been occurring especially in the state capital Campo Grande, with consequent occurrence of VL cases in pregnant women. This situation causes an elevated risk of vertical transmission of the parasite. In this report, we describe a case of VL in a pregnant woman followed up by our group, who was treated with liposomal amphotericin B, with no vertical transmission of the parasite. In our report, we demonstrate a therapeutic option for kala-azar during pregnancy, since antimoniate, the first-choice drug, is not prescribed during the gestational period.
Views123This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Summary
Relato de CasoVisceral leishmaniasis (kala-azar) and pregnancy: a case report
Revista Brasileira de Ginecologia e Obstetrícia. 2005;27(2):92-97
07-06-2005DOI 10.1590/S0100-72032005000200009
Views123See moreVisceral leishmaniasis (VL) is an endemic disease in the state of Mato Grosso do Sul, Brazil, mainly in the areas near the Paraguay and Paraná rivers. An increasing number of cases have been occurring especially in the state capital Campo Grande, with consequent occurrence of VL cases in pregnant women. This situation causes an elevated risk of vertical transmission of the parasite. In this report, we describe a case of VL in a pregnant woman followed up by our group, who was treated with liposomal amphotericin B, with no vertical transmission of the parasite. In our report, we demonstrate a therapeutic option for kala-azar during pregnancy, since antimoniate, the first-choice drug, is not prescribed during the gestational period.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. -
Relato de Caso
Oropharyngeal congenital teratoma: a case report
Revista Brasileira de Ginecologia e Obstetrícia. 2005;27(2):86-91
07-06-2005
Summary
Relato de CasoOropharyngeal congenital teratoma: a case report
Revista Brasileira de Ginecologia e Obstetrícia. 2005;27(2):86-91
07-06-2005DOI 10.1590/S0100-72032005000200008
Views135See moreOropharyngeal teratoma is the most rare type of teratoma, with only 2% of fetal teratomas. The diagnosis must be established as early as possible, preferably during the prenatal period. The prognosis will depend on the size and location of the lesion, growth rate of the lesion, degree of intracranial spread, its resectability, and immediate care at birth by a multisciplinary team. We report aparticular case of congenital oropharyngeal teratoma (epignathus). The diagnosis was made during the prenatal period by ultrasound, and the fetus evolved to intrauterine death at the 29th week. The anatomopathological examination revealed a female fetus, compatible with 27-28 weeks, oropharyngeal teratoma and congenital malformations.
Views135This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Summary
Relato de CasoOropharyngeal congenital teratoma: a case report
Revista Brasileira de Ginecologia e Obstetrícia. 2005;27(2):86-91
07-06-2005DOI 10.1590/S0100-72032005000200008
Views135See moreOropharyngeal teratoma is the most rare type of teratoma, with only 2% of fetal teratomas. The diagnosis must be established as early as possible, preferably during the prenatal period. The prognosis will depend on the size and location of the lesion, growth rate of the lesion, degree of intracranial spread, its resectability, and immediate care at birth by a multisciplinary team. We report aparticular case of congenital oropharyngeal teratoma (epignathus). The diagnosis was made during the prenatal period by ultrasound, and the fetus evolved to intrauterine death at the 29th week. The anatomopathological examination revealed a female fetus, compatible with 27-28 weeks, oropharyngeal teratoma and congenital malformations.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. -
Relato de Caso
Primary Carcinoma of Axillary Accessory Breast: Case Report
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(5):307-310
01-04-2000
Summary
Relato de CasoPrimary Carcinoma of Axillary Accessory Breast: Case Report
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(5):307-310
01-04-2000DOI 10.1590/S0100-72032000000500009
Views131Polymastia is a usual problem in Mastology clinics and the possibility of cancer must be taken into consideration, as much as in any other mammary tissue. In the present study the case of a 48-year-old patient, submitted to the excision of the left axillary breast for cosmetic purposes is reported. The histological examination showed an invasive ductal carcinoma with an extensive in situ component. The patient was submitted to a wide excision plus axillary lymphadenectomy and radiation therapy. The frequency, diagnosis, prognosis and treatment of cancer in supernumerary breasts is also reviewed.
Key-words Breast neoplasmsSupernumerary breastSee moreViews131This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Summary
Relato de CasoPrimary Carcinoma of Axillary Accessory Breast: Case Report
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(5):307-310
01-04-2000DOI 10.1590/S0100-72032000000500009
Views131Polymastia is a usual problem in Mastology clinics and the possibility of cancer must be taken into consideration, as much as in any other mammary tissue. In the present study the case of a 48-year-old patient, submitted to the excision of the left axillary breast for cosmetic purposes is reported. The histological examination showed an invasive ductal carcinoma with an extensive in situ component. The patient was submitted to a wide excision plus axillary lymphadenectomy and radiation therapy. The frequency, diagnosis, prognosis and treatment of cancer in supernumerary breasts is also reviewed.
Key-words Breast neoplasmsSupernumerary breastSee moreThis is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. -
Relato de Caso
Paroxysmal nocturnal hemoglobinuria in pregnancy
Revista Brasileira de Ginecologia e Obstetrícia. 2004;26(7):579-582
10-15-2004
Summary
Relato de CasoParoxysmal nocturnal hemoglobinuria in pregnancy
Revista Brasileira de Ginecologia e Obstetrícia. 2004;26(7):579-582
10-15-2004DOI 10.1590/S0100-72032004000700011
Views59See moreParoxysmal nocturnal hemoglobinuria is a rare disease caused by an acquired gene mutation of the hematopoietic system, with 16-18% of the cases diagnosed during pregnancy. We describe two cases of pregnancy in women with paroxysmal nocturnal hemoglobinuria. Maternal mortality reaches 8-10%, mainly due to thromboembolism and, less frequently, to leukemic transformation. Fetal losses may reach 30%. These two cases illustrate a serious and extremely complex situation, which is the obstetrical management of a patient with a very rare, serious and potentially fatal hematological condition. Using a multidisciplinary approach in tertiary care centers, it is possible to attain good maternal and perinatal outcomes.
Views59This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Summary
Relato de CasoParoxysmal nocturnal hemoglobinuria in pregnancy
Revista Brasileira de Ginecologia e Obstetrícia. 2004;26(7):579-582
10-15-2004DOI 10.1590/S0100-72032004000700011
Views59See moreParoxysmal nocturnal hemoglobinuria is a rare disease caused by an acquired gene mutation of the hematopoietic system, with 16-18% of the cases diagnosed during pregnancy. We describe two cases of pregnancy in women with paroxysmal nocturnal hemoglobinuria. Maternal mortality reaches 8-10%, mainly due to thromboembolism and, less frequently, to leukemic transformation. Fetal losses may reach 30%. These two cases illustrate a serious and extremely complex situation, which is the obstetrical management of a patient with a very rare, serious and potentially fatal hematological condition. Using a multidisciplinary approach in tertiary care centers, it is possible to attain good maternal and perinatal outcomes.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. -
Relato de Caso
Recurrent polyhydramnios management in an HIV-1 infected pregnant woman: a case report
Revista Brasileira de Ginecologia e Obstetrícia. 2004;26(3):241-245
07-05-2004
Summary
Relato de CasoRecurrent polyhydramnios management in an HIV-1 infected pregnant woman: a case report
Revista Brasileira de Ginecologia e Obstetrícia. 2004;26(3):241-245
07-05-2004DOI 10.1590/S0100-72032004000300011
Views100See moreThe reduction of mother-to-child transmission (MTCT) of the HIV-1 using zidovudine (ZDV) represents a cornerstone in the prenatal and obstetrical care to these patients. The invasive fetal and obstetric procedures are proscribed in HIV-1 infected pregnant patients, to avoid the increased risk of MTCT of this virus. The authors present a case of an HIV-1 infected woman with recurrent polyhydramnios. Four ultrasound-guided amniotic punctures were performed in the 23rd, 26th, 27th and 29th weeks of gestation, each one draining the respective volumes of 1,800, 1,450, 1,700 and 1,960 ml of clear amniotic fluid. The patient started preterm labor with 30 weeks and 5 days resulting in vaginal delivery of a male neonate weighing 1,690g and measuring 43cm. The baby presented a post natal diagnosis of a sodium-losing nephropathy and was submitted to three negative polymerase chain reaction tests for HIV-1. The authors point out that the option to manage cases of HIV-1 infected pregnancies that could need invasive obstetric procedures should be to give the patient 2 mg//kg of ZDV endovenously before the procedure, in order to avoid MTCT of HIV-1, as it has demonstrated good results in this case.
Views100This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Summary
Relato de CasoRecurrent polyhydramnios management in an HIV-1 infected pregnant woman: a case report
Revista Brasileira de Ginecologia e Obstetrícia. 2004;26(3):241-245
07-05-2004DOI 10.1590/S0100-72032004000300011
Views100See moreThe reduction of mother-to-child transmission (MTCT) of the HIV-1 using zidovudine (ZDV) represents a cornerstone in the prenatal and obstetrical care to these patients. The invasive fetal and obstetric procedures are proscribed in HIV-1 infected pregnant patients, to avoid the increased risk of MTCT of this virus. The authors present a case of an HIV-1 infected woman with recurrent polyhydramnios. Four ultrasound-guided amniotic punctures were performed in the 23rd, 26th, 27th and 29th weeks of gestation, each one draining the respective volumes of 1,800, 1,450, 1,700 and 1,960 ml of clear amniotic fluid. The patient started preterm labor with 30 weeks and 5 days resulting in vaginal delivery of a male neonate weighing 1,690g and measuring 43cm. The baby presented a post natal diagnosis of a sodium-losing nephropathy and was submitted to three negative polymerase chain reaction tests for HIV-1. The authors point out that the option to manage cases of HIV-1 infected pregnancies that could need invasive obstetric procedures should be to give the patient 2 mg//kg of ZDV endovenously before the procedure, in order to avoid MTCT of HIV-1, as it has demonstrated good results in this case.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. -
Relato de Caso
Mucinous cystadenocarcinoma of low malignant potential coexisting with a mature cystic teratoma: a case report
Revista Brasileira de Ginecologia e Obstetrícia. 2003;25(8):605-608
12-12-2003
Summary
Relato de CasoMucinous cystadenocarcinoma of low malignant potential coexisting with a mature cystic teratoma: a case report
Revista Brasileira de Ginecologia e Obstetrícia. 2003;25(8):605-608
12-12-2003DOI 10.1590/S0100-72032003000800010
Views95The purely mucinous tumors of the ovary are considered, by some authors, as a monodermic variant of mature teratoma. Few case reports mention the coexistence of these two tumors with distinct cellular origin. Our objective is to describe the case of a 38-year-old patient with a mucinous cystadenocarcinoma with low malignant potential arising in a mature cystic teratoma and to divulge the importance of the knowledge about this association to the gynecological surgeon.
Key-words Mature teratomaOvarySee moreViews95This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Summary
Relato de CasoMucinous cystadenocarcinoma of low malignant potential coexisting with a mature cystic teratoma: a case report
Revista Brasileira de Ginecologia e Obstetrícia. 2003;25(8):605-608
12-12-2003DOI 10.1590/S0100-72032003000800010
Views95The purely mucinous tumors of the ovary are considered, by some authors, as a monodermic variant of mature teratoma. Few case reports mention the coexistence of these two tumors with distinct cellular origin. Our objective is to describe the case of a 38-year-old patient with a mucinous cystadenocarcinoma with low malignant potential arising in a mature cystic teratoma and to divulge the importance of the knowledge about this association to the gynecological surgeon.
Key-words Mature teratomaOvarySee moreThis is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. -
Relato de Caso
Scalp metastasis from carcinoma of the cervix: case report
Revista Brasileira de Ginecologia e Obstetrícia. 2003;25(8):609-611
12-12-2003
Summary
Relato de CasoScalp metastasis from carcinoma of the cervix: case report
Revista Brasileira de Ginecologia e Obstetrícia. 2003;25(8):609-611
12-12-2003DOI 10.1590/S0100-72032003000800011
Views117See moreCarcinoma of the uterine cervix is a common neoplasm; however skin metastasis from carcinoma of the uterine cervix is a very rare occurrence, varying from 0.1% to 2%. The common primary sites in patients with skin metastasis are the breast, lung, large intestine and ovary. The interval between the diagnosis of cervical cancer and skin lesions ranges from 0 to 69 months, and they present as nodules in 86,7%. Skin metastasis represents a late manifestation of advanced disease with poor prognosis. We present a case of scalp metastasis from carcinoma of the uterine cervix . The patient was 43 years old, had a diagnosis of undifferentiated epidermoid carcinoma of the uterine cervix. Six months after radical surgery she presented with vaginal recurrence, being treated with pelvic radiotherapy. Four months later three painless metastatic nodules appeared at the scalp. The patient underwent chemotherapy with total regression of the scalp lesions.
Views117This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Summary
Relato de CasoScalp metastasis from carcinoma of the cervix: case report
Revista Brasileira de Ginecologia e Obstetrícia. 2003;25(8):609-611
12-12-2003DOI 10.1590/S0100-72032003000800011
Views117See moreCarcinoma of the uterine cervix is a common neoplasm; however skin metastasis from carcinoma of the uterine cervix is a very rare occurrence, varying from 0.1% to 2%. The common primary sites in patients with skin metastasis are the breast, lung, large intestine and ovary. The interval between the diagnosis of cervical cancer and skin lesions ranges from 0 to 69 months, and they present as nodules in 86,7%. Skin metastasis represents a late manifestation of advanced disease with poor prognosis. We present a case of scalp metastasis from carcinoma of the uterine cervix . The patient was 43 years old, had a diagnosis of undifferentiated epidermoid carcinoma of the uterine cervix. Six months after radical surgery she presented with vaginal recurrence, being treated with pelvic radiotherapy. Four months later three painless metastatic nodules appeared at the scalp. The patient underwent chemotherapy with total regression of the scalp lesions.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Relato de Caso Archives - Revista Brasileira de Ginecologia e Obstetrícia
