![](/images/graphics-bg.png)
Management of Low-Grade Appendiceal Mucinous Neoplasm with Extensive Peritoneal Spread Diagnosed during Pregnancy: Two Case Reports and Literature Review
Joint Authors
Nikiforchin, Andrei
Gushchin, Vadim
Baron, Ekaterina
King, Mary Caitlin
Sardi, Armando
Source
Case Reports in Oncological Medicine
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-10-15
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Background.
Clinical decisions in patients with peritoneal dissemination of low-grade appendiceal mucinous neoplasms (LAMN) diagnosed during pregnancy are challenging.
However, their slow progression and favorable prognosis allow deferring definitive treatment until after spontaneous delivery, a reasonable period of breastfeeding, and fertility preservation.
Case Presentation.
Two pregnant patients were incidentally diagnosed with LAMN and extensive peritoneal spread at 20 weeks gestation and at cesarean section.
Treatment with cytoreductive surgery and hyperthermic intraperitoneal chemotherapy in both cases was delayed until spontaneous delivery at term and breastfeeding in the first patient and breastfeeding and fertility preservation in the second patient.
Both patients remain disease-free for over 5 years, and their children are healthy.
The literature review highlights the challenges that physicians face in treating pregnant patients with stage IV appendiceal tumors.
Conclusion.
Pregnancy management decisions in patients with peritoneal spread from mucinous appendiceal tumor should be based on understanding the tumor biology and prognosis.
Definitive treatment in pregnant patients with favorable tumors, such as LAMN, may be delayed until spontaneous delivery without compromising maternal survival.
American Psychological Association (APA)
Baron, Ekaterina& Gushchin, Vadim& King, Mary Caitlin& Nikiforchin, Andrei& Sardi, Armando. 2020. Management of Low-Grade Appendiceal Mucinous Neoplasm with Extensive Peritoneal Spread Diagnosed during Pregnancy: Two Case Reports and Literature Review. Case Reports in Oncological Medicine،Vol. 2020, no. 2020, pp.1-9.
https://search.emarefa.net/detail/BIM-1149518
Modern Language Association (MLA)
Baron, Ekaterina…[et al.]. Management of Low-Grade Appendiceal Mucinous Neoplasm with Extensive Peritoneal Spread Diagnosed during Pregnancy: Two Case Reports and Literature Review. Case Reports in Oncological Medicine No. 2020 (2020), pp.1-9.
https://search.emarefa.net/detail/BIM-1149518
American Medical Association (AMA)
Baron, Ekaterina& Gushchin, Vadim& King, Mary Caitlin& Nikiforchin, Andrei& Sardi, Armando. Management of Low-Grade Appendiceal Mucinous Neoplasm with Extensive Peritoneal Spread Diagnosed during Pregnancy: Two Case Reports and Literature Review. Case Reports in Oncological Medicine. 2020. Vol. 2020, no. 2020, pp.1-9.
https://search.emarefa.net/detail/BIM-1149518
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1149518