The Management of Pregnancy in Women with Hepatocellular Adenoma: A Plea for an Individualized Approach
Because of the risk of hormone-induced growth and spontaneous rupture of hepatocellular adenoma (HCA) during pregnancy, special considerations are required. Due to the scarcity of cases, there is no evidence-based algorithm for the evaluation and management of HCA during pregnancy. We think it shoul...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | International Journal of Hepatology |
| Online Access: | http://dx.doi.org/10.1155/2012/725735 |
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| author | Mirelle E. E. Bröker Jan N. M. Ijzermans Susanna M. van Aalten Robert A. de Man Türkan Terkivatan |
| author_facet | Mirelle E. E. Bröker Jan N. M. Ijzermans Susanna M. van Aalten Robert A. de Man Türkan Terkivatan |
| author_sort | Mirelle E. E. Bröker |
| collection | DOAJ |
| description | Because of the risk of hormone-induced growth and spontaneous rupture of hepatocellular adenoma (HCA) during pregnancy, special considerations are required. Due to the scarcity of cases, there is no evidence-based algorithm for the evaluation and management of HCA during pregnancy. We think it should be questioned if it is justified to discourage pregnancy in all women with HCA. The biological behavior of this benign lesion might be less threatening than presumed and a negative advice concerning pregnancy has great impact on the lives of these young female patients. The balance between the pros and cons of hepatic adenomas and pregnancy should be reconsidered. In our center, pregnancy in women with an HCA up to 5 cm is no longer discouraged in close consultation with the patient, her partner, and members of the liver expert team. |
| format | Article |
| id | doaj-art-b2a82f5cfbb44eaa99c618bc08f9efb7 |
| institution | OA Journals |
| issn | 2090-3448 2090-3456 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Hepatology |
| spelling | doaj-art-b2a82f5cfbb44eaa99c618bc08f9efb72025-08-20T02:23:24ZengWileyInternational Journal of Hepatology2090-34482090-34562012-01-01201210.1155/2012/725735725735The Management of Pregnancy in Women with Hepatocellular Adenoma: A Plea for an Individualized ApproachMirelle E. E. Bröker0Jan N. M. Ijzermans1Susanna M. van Aalten2Robert A. de Man3Türkan Terkivatan4Department of Surgery, Erasmus Medical Center, P.O. Box 2040, 3000 CA Rotterdam, The NetherlandsDepartment of Surgery, Erasmus Medical Center, P.O. Box 2040, 3000 CA Rotterdam, The NetherlandsDepartment of Surgery, Erasmus Medical Center, P.O. Box 2040, 3000 CA Rotterdam, The NetherlandsDepartment of Gastroenterology and Hepatology, Erasmus Medical Center, P.O. Box 2040, 3000 CA Rotterdam, The NetherlandsDepartment of Surgery, Erasmus Medical Center, P.O. Box 2040, 3000 CA Rotterdam, The NetherlandsBecause of the risk of hormone-induced growth and spontaneous rupture of hepatocellular adenoma (HCA) during pregnancy, special considerations are required. Due to the scarcity of cases, there is no evidence-based algorithm for the evaluation and management of HCA during pregnancy. We think it should be questioned if it is justified to discourage pregnancy in all women with HCA. The biological behavior of this benign lesion might be less threatening than presumed and a negative advice concerning pregnancy has great impact on the lives of these young female patients. The balance between the pros and cons of hepatic adenomas and pregnancy should be reconsidered. In our center, pregnancy in women with an HCA up to 5 cm is no longer discouraged in close consultation with the patient, her partner, and members of the liver expert team.http://dx.doi.org/10.1155/2012/725735 |
| spellingShingle | Mirelle E. E. Bröker Jan N. M. Ijzermans Susanna M. van Aalten Robert A. de Man Türkan Terkivatan The Management of Pregnancy in Women with Hepatocellular Adenoma: A Plea for an Individualized Approach International Journal of Hepatology |
| title | The Management of Pregnancy in Women with Hepatocellular Adenoma: A Plea for an Individualized Approach |
| title_full | The Management of Pregnancy in Women with Hepatocellular Adenoma: A Plea for an Individualized Approach |
| title_fullStr | The Management of Pregnancy in Women with Hepatocellular Adenoma: A Plea for an Individualized Approach |
| title_full_unstemmed | The Management of Pregnancy in Women with Hepatocellular Adenoma: A Plea for an Individualized Approach |
| title_short | The Management of Pregnancy in Women with Hepatocellular Adenoma: A Plea for an Individualized Approach |
| title_sort | management of pregnancy in women with hepatocellular adenoma a plea for an individualized approach |
| url | http://dx.doi.org/10.1155/2012/725735 |
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