怀孕期间膀癌的管理:叙述性审查
1Department of Urology, University Hospital of Marche, Ancona, Italy lucio.dellatti@ospedaliriuniti.marche.it.
Anticancer research
|October 28, 2025
概括
怀孕期间的膀癌 (BC) 是罕见的,使诊断和治疗复杂化. 管理层优先考虑胎儿安全,经常涉及保守的方法,因为激进干预的风险.
科学领域:
- 在瘤学瘤学.
- 产科和妇科 产科和妇科
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 怀孕期间膀癌 (BC) 异常罕见,流行病学数据有限.
- 现有的文献主要包括孤立的病例报告,需要进行全面的审查.
研究的目的:
- 为了提供关于膀癌发病率,风险因素和孕妇癌症管理的最新概述.
- 综合了关于这种罕见疾病的已发表病例报告和文献的发现.
主要方法:
- 在PubMed,EMBASE和Google Scholar上进行了全面的文献搜索.
- 关键词包括"膀癌"",尿癌"",怀孕"和"治疗".
- 在最终分析中包含了18篇相关文章.
主要成果:
- 怀孕可能会因为重叠的症状而使BC诊断复杂化;持续的血需要调查.
- 超声波和MRI等非侵入性成像是首选的诊断工具,优先考虑胎儿安全.
- 囊镜虽然是黄金标准,但在怀孕期间存在风险.
结论:
- 在怀孕期间治疗膀癌需要平衡母亲的健康和胎儿的安全.
- 妊娠年龄和瘤阶段显著指导治疗决策.
- 保守的管理往往比激进的干预更受青,以尽量减少胎儿的风险.
相关概念视频
Urinary Tract Infection IV: Nursing Management
426
In managing urinary tract infections (UTIs) in nursing, a comprehensive assessment is essential. Begin by gathering subjective data, such as the patient’s complaints of dysuria (painful urination), urinary frequency, urgency, suprapubic pain, and any lower abdominal discomfort. This information can be complemented by questions regarding previous UTIs, sexual activity, and personal hygiene practices, which can provide insight into risk factors. Objective assessment should focus on signs...
426
Urinary Tract Calculi V: Nursing Management
262
AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
262
Urinary Tract Calculi III: Medical Management
191
The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
191
Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
246
A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
246
Urinary Tract Calculi VI: Surgical Management
366
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
366
Imaging Studies VI: Voiding Cystourethrography and Cystography
1.2K
Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...
1.2K


