怀孕期间的desmoid瘤因深静脉血栓症而复杂:一个病例报告
Monchai Suntipap1, Potsanop Kassayanan2, Kasidis Nontaprom2
1Department of Obstetrics and Gynecology, Faculty of Medicine, Srinakharinwirot University, Ongkharak, Nakhon Nayok 26120, Thailand.
Case reports in women's health
|October 17, 2025
概括
这项案例研究突出了怀孕期间一种罕见的desmoid瘤,导致深静脉血栓形成的罕见情况. 财务限制影响了治疗决策,强调多学科护理以获得最佳结果.
科学领域:
- 在瘤学瘤学.
- 产科和妇科 产科和妇科
- 血管外科 血管外科
背景情况:
- 德斯莫伊德瘤是一种罕见的,局部具有攻击性的软组织瘤.
- 怀孕增加了深静脉血栓症 (DVT) 的风险,原因是高凝血能力.
- 状瘤和与怀孕相关的DVT的同时出现带来了重大的诊断和治疗挑战.
研究的目的:
- 报告一个极其罕见的desmoid瘤的病例,该瘤在孕妇患者中引起深静脉血栓形成.
- 讨论与这种罕见疾病相关的诊断和治疗挑战.
- 强调财务限制对临床决策和患者结果的影响.
主要方法:
- 一个29岁的孕妇 (28周怀孕) 的病例报告,有DVT和腿部胀的病史.
- 诊断成像 (超声波),以确定压缩静脉的腹壁质量.
- 管理涉及由于财务限制而使用华法林的临时抗凝药,随后是剖腹产和推迟瘤切除.
主要成果:
- 确定了一种腹壁desmoid瘤,压缩左外阴静脉并导致慢性DVT.
- 一个健康的婴儿是通过选择性剖腹产产生的.
- 产后活检证实了desmoid型纤维化;放射治疗是计划的,但由于财务限制而被推迟.
结论:
- 腹壁瘤应在与怀孕有关的DVT的差异诊断中考虑.
- 财务限制可以显著影响治疗策略和患者管理.
- 在复杂的病例中,多学科规划对于优化母亲和胎儿的结果至关重要.
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