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[Kidney cancer and pregnancy]
M Dakir1, R Aboutaieb, Z Dahami
1Service d'Urologie, CHU Ibn Rochd, Casablanca, Maroc. mohamed_dakir@caramail.com
Summary
Renal cancer during pregnancy is rare but requires careful diagnosis and treatment. Early detection and management, similar to non-pregnant patients, are crucial for maternal and fetal outcomes.
Area of Science:
- Oncology
- Obstetrics & Gynecology
Background:
- Renal cancer is uncommon in pregnant women, necessitating a review of associated diagnostic, therapeutic, and pathogenic factors.
- Pregnancy can present a unique window for the incidental discovery of renal tumors.
Observation:
- Two cases of renal tumors (clear cell carcinoma) were identified in pregnant women during their first and second trimesters.
- Diagnostic imaging included ultrasound, CT scan, and chest X-ray, with initial exams for tumor extension being negative.
Findings:
- One patient experienced spontaneous abortion post-surgery, with no metastasis at 16 months.
- The second patient developed metastases four months after a normal delivery, indicating a poorer prognosis.
Implications:
- Diagnostic evaluations for tumor extension must account for gestational age.
- Treatment protocols for renal cancer in pregnancy mirror those for non-pregnant patients, with concurrent pregnancy monitoring essential.