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Fibrolamellar hepatocellular carcinoma and pregnancy. Tactics of treatment

Игнатко И. В., Афанас'ева Н. В., Снеговоy А. В., Рябчиков Д. А., Дудина И. А., Голубенко Е. О., Мацнева И. А.
Вопросы гинекологии, акушерства и перинатологии
Т. 17, Вып. 3, С. 101-106
Опубликовано: 2018
Тип ресурса: Статья

DOI:10.20953/1726-1678-2018-3-101-106

Аннотация:
Hepatocellular carcinoma (HCC) is rarely diagnosed during pregnancy, its fibrolamellar variant (FHCC) is a specific form that is more often diagnosed in young women and is rarely associated with cirrhosis or chronic infection with hepatitis B or C viruses. Making a diagnosis at early stages is complicated by the fact that the α-fetoprotein (AFP) level is usually not enhanced, and symptoms develop only at advanced stages of disease. A clinical case of FHCC in a 27-year-old woman is presented, diagnosed at the 30th week of pregnancy after persistent dragging and spastic pains in the epigastric region. US detected a tumour with sizes 110 × 81 × 89 mm and foci in the lungs. Variants of treating such patients depending on tumour characteristics, pregnancy period and family preferences are discussed. © 2018 Dynasty Publishing House. All rights reserved.
Ключевые слова:
Fibrolamellar variant; Hepatocellular carcinoma; Pregnancy; Tactics of managements
Язык текста: Русский
ISSN: 2414-9152
Игнатко И. В. Ирина Владимировна 1968-
Афанас'ева Н. В.
Снеговоy А. В.
Рябчиков Д. А.
Дудина И. А.
Голубенко Е. О.
Мацнева И. А. Ирина Андреевна 1994-
Ignatko I. V. Irina Vladimirovna 1968-
Afanas'eva N. V.
Snegovoy A. V.
Ryabchikov D. A.
Dudina I. A.
Golubenko E. O.
Matsneva I. A. Irina Andreevna 1994-
Fibrolamellar hepatocellular carcinoma and pregnancy. Tactics of treatment
Текст визуальный непосредственный
Вопросы гинекологии, акушерства и перинатологии
ООО "Издательство "Династия"
Т. 17, Вып. 3 С. 101-106
2018
Статья
Fibrolamellar variant Hepatocellular carcinoma Pregnancy Tactics of managements
Hepatocellular carcinoma (HCC) is rarely diagnosed during pregnancy, its fibrolamellar variant (FHCC) is a specific form that is more often diagnosed in young women and is rarely associated with cirrhosis or chronic infection with hepatitis B or C viruses. Making a diagnosis at early stages is complicated by the fact that the α-fetoprotein (AFP) level is usually not enhanced, and symptoms develop only at advanced stages of disease. A clinical case of FHCC in a 27-year-old woman is presented, diagnosed at the 30th week of pregnancy after persistent dragging and spastic pains in the epigastric region. US detected a tumour with sizes 110 × 81 × 89 mm and foci in the lungs. Variants of treating such patients depending on tumour characteristics, pregnancy period and family preferences are discussed. © 2018 Dynasty Publishing House. All rights reserved.