Management of renal tumors during pregnancy: case reports

BMC Nephrology

Weifeng Xu¹  Yi Zhao¹  Jie Dong¹  Zhigang Ji¹  Ziyi Yang² 

[1]Department of Urology, Peking Union Medical College Hospital, Chinese Academy of Science, Beijing, China

[2]Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China

关键词: Pregnancy;    Renal tumors;    Renal cell carcinoma;    Renal angiomyolipoma;    Nephrectomy;    Laparoscopy;   

DOI  :  10.1186/s12882-021-02318-w

来源: Springer

【 摘 要 】

BackgroundRenal tumors during pregnancy are rare and the treatment requires evaluation of both the patient and the fetus. No consensus or guidelines has been proposed or verified in this field. We successfully managed three renal tumor cases during pregnancy and reviewed the relative literature.Case presentationIn the first renal cell carcinoma case diagnosed in the 21st week of pregnancy, laparoscopic retroperitoneoscopic partial nephrectomy was performed in the 26th week of pregnancy. In the second renal cell carcinoma case diagnosed in the 3rd week of pregnancy, laparoscopic retroperitoneoscopic radical nephrectomy was carried out after the abortion. In the third angiomyolipoma case who was diagnosed before pregnancy but received no treatment, we performed laparoscopic retroperitoneoscopic partial nephrectomy during the 17th week of pregnancy due to the rapid enlargement of the tumor.ConclusionAlthough no consensus or guidelines for the management of renal tumors in pregnant patients has been proposed or verified, the general rules of kidney tumor management in non-pregnant patients and the guidelines for surgery in pregnancy could be referred to. Renal tumors found in pregnant patients require an individualized treatment regimen involving surgical timing, routes, techniques, and excision ranges, which should be decided by both the patients and the surgical teams.

【 授权许可】

CC BY