Renal cell carcinoma treatment during pregnancy: Histopathological findings suggestive of rapid tumor growth

Takehiro Ohyama; Masaki Shimbo; Fumiyasu Endo; Yoko Kyono; Fumi Akitani; Tokuhito Hayashi; Kenji Komatsu; Kazuhito Matsushita; Kosuke Suzuki; Kazunori Hattori

doi:10.1002/iju5.12098

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Renal cell carcinoma treatment during pregnancy: Histopathological findings suggestive of rapid tumor growth

Journal article

Open access

Peer reviewed

Renal cell carcinoma treatment during pregnancy: Histopathological findings suggestive of rapid tumor growth

Takehiro Ohyama, Masaki Shimbo, Fumiyasu Endo, Yoko Kyono, Fumi Akitani, Tokuhito Hayashi, Kenji Komatsu, Kazuhito Matsushita, Kosuke Suzuki and Kazunori Hattori

IJU case reports, Vol.2(5), pp.265-268

09/2019

DOI: 10.1002/iju5.12098

PMCID: PMC7292109

PMID: 32743433

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Abstract

Introduction Diagnosis of renal cell carcinoma during pregnancy is rare. We report a case of renal cell carcinoma during pregnancy with rapid growth. Case presentation A 39‐year‐old woman presented to our hospital for treatment of renal tumor at 22 weeks gestation. The tumor had a cystic lesion with a partition and showed rapid growth from 28 mm to 32 mm over a period of 4 weeks. The tumor was diagnosed as renal cell carcinoma and an open partial nephrectomy was scheduled at 26 weeks gestation. The operation and perioperative course were successful. Pathological findings confirmed the tumor to be clear cell renal cell carcinoma with G2 > G3, Fuhrman grade 2, pT1a, negative surgical margin, and positive detection of progesterone receptor. Conclusion We reported the successful management of a patient who was diagnosed with renal cell carcinoma during pregnancy. We also had a suggested association between rapid growth tumor and progesterone based on histopathological analysis of the tumor.

Pregnancy

partial nephrectomy

progesterone receptor

renal cell carcinoma

Details

Title: Subtitle: Renal cell carcinoma treatment during pregnancy: Histopathological findings suggestive of rapid tumor growth
Creators: Takehiro Ohyama - St. Luke's International Hospital
Masaki Shimbo - St. Luke's International Hospital
Fumiyasu Endo - St. Luke's International Hospital
Yoko Kyono - St. Luke's International Hospital
Fumi Akitani - St. Luke's International Hospital
Tokuhito Hayashi - University of Iowa, Anesthesia
Kenji Komatsu - St. Luke's International Hospital
Kazuhito Matsushita - St. Luke's International Hospital
Kosuke Suzuki - St. Luke's International Hospital
Kazunori Hattori - St. Luke's International Hospital
Resource Type: Journal article
Publication Details: IJU case reports, Vol.2(5), pp.265-268
DOI: 10.1002/iju5.12098
PMID: 32743433
PMCID: PMC7292109
NLM abbreviation: IJU Case Rep
ISSN: 2577-171X
eISSN: 2577-171X
Number of pages: 4
Language: English
Date published: 09/2019
Academic Unit: Anesthesia
Record Identifier: 9984821674902771

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