Pregnancy Complicated With a Giant Pancreatic Tumor and Decompensation of Liver Cirrhosis: A Case Report and Literature Review
Abstract. Pregnancy with solid pseudopapillary tumor of the pancreas (SPTP) is rare. Because pregnancy hormones may cause tumor progression, the management and treatment of SPTP need to balance the safety of pregnant women and fetuses with surgical treatment. We reported a case of a giant pancreatic...
Saved in:
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Health
2024-01-01
|
| Series: | Maternal-Fetal Medicine |
| Online Access: | http://journals.lww.com/10.1097/FM9.0000000000000168 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850142120470380544 |
|---|---|
| author | Dandan Shi Jue Li Yi Yu Lirong Teng Juntao Liu Xinyan Liu Ping Peng Qian Zhou Congcong Liu |
| author_facet | Dandan Shi Jue Li Yi Yu Lirong Teng Juntao Liu Xinyan Liu Ping Peng Qian Zhou Congcong Liu |
| author_sort | Dandan Shi |
| collection | DOAJ |
| description | Abstract. Pregnancy with solid pseudopapillary tumor of the pancreas (SPTP) is rare. Because pregnancy hormones may cause tumor progression, the management and treatment of SPTP need to balance the safety of pregnant women and fetuses with surgical treatment. We reported a case of a giant pancreatic tumor diagnosed during pregnancy that was considered to be SPTP. Examinations also showed hepatitis B virus infection and severe decompensation of liver cirrhosis. Medical termination of pregnancy was performed. The patient has lived with the tumor until now without surgery. We retrieved the published case reports, summarized the clinical characteristics of pregnancy with SPTP, and explored its management during the perinatal period. Most patients with SPTP have a good prognosis with good maternal and fetal outcomes, and it is important to choose an appropriate treatment method and timing. However, pregnancy combined with decompensated liver cirrhosis needs to be terminated in a timely manner because of its high-risk status. |
| format | Article |
| id | doaj-art-e7fb45a88e0843be879aed10a8f1de54 |
| institution | OA Journals |
| issn | 2096-6954 2641-5895 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Wolters Kluwer Health |
| record_format | Article |
| series | Maternal-Fetal Medicine |
| spelling | doaj-art-e7fb45a88e0843be879aed10a8f1de542025-08-20T02:29:12ZengWolters Kluwer HealthMaternal-Fetal Medicine2096-69542641-58952024-01-0161505310.1097/FM9.0000000000000168202401000-00008Pregnancy Complicated With a Giant Pancreatic Tumor and Decompensation of Liver Cirrhosis: A Case Report and Literature ReviewDandan ShiJue LiYi Yu0Lirong Teng1Juntao Liu2Xinyan Liu3Ping Peng4Qian Zhou5Congcong Liu61 Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China1 Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China1 Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China1 Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China1 Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China1 Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China1 Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, ChinaAbstract. Pregnancy with solid pseudopapillary tumor of the pancreas (SPTP) is rare. Because pregnancy hormones may cause tumor progression, the management and treatment of SPTP need to balance the safety of pregnant women and fetuses with surgical treatment. We reported a case of a giant pancreatic tumor diagnosed during pregnancy that was considered to be SPTP. Examinations also showed hepatitis B virus infection and severe decompensation of liver cirrhosis. Medical termination of pregnancy was performed. The patient has lived with the tumor until now without surgery. We retrieved the published case reports, summarized the clinical characteristics of pregnancy with SPTP, and explored its management during the perinatal period. Most patients with SPTP have a good prognosis with good maternal and fetal outcomes, and it is important to choose an appropriate treatment method and timing. However, pregnancy combined with decompensated liver cirrhosis needs to be terminated in a timely manner because of its high-risk status.http://journals.lww.com/10.1097/FM9.0000000000000168 |
| spellingShingle | Dandan Shi Jue Li Yi Yu Lirong Teng Juntao Liu Xinyan Liu Ping Peng Qian Zhou Congcong Liu Pregnancy Complicated With a Giant Pancreatic Tumor and Decompensation of Liver Cirrhosis: A Case Report and Literature Review Maternal-Fetal Medicine |
| title | Pregnancy Complicated With a Giant Pancreatic Tumor and Decompensation of Liver Cirrhosis: A Case Report and Literature Review |
| title_full | Pregnancy Complicated With a Giant Pancreatic Tumor and Decompensation of Liver Cirrhosis: A Case Report and Literature Review |
| title_fullStr | Pregnancy Complicated With a Giant Pancreatic Tumor and Decompensation of Liver Cirrhosis: A Case Report and Literature Review |
| title_full_unstemmed | Pregnancy Complicated With a Giant Pancreatic Tumor and Decompensation of Liver Cirrhosis: A Case Report and Literature Review |
| title_short | Pregnancy Complicated With a Giant Pancreatic Tumor and Decompensation of Liver Cirrhosis: A Case Report and Literature Review |
| title_sort | pregnancy complicated with a giant pancreatic tumor and decompensation of liver cirrhosis a case report and literature review |
| url | http://journals.lww.com/10.1097/FM9.0000000000000168 |
| work_keys_str_mv | AT dandanshi pregnancycomplicatedwithagiantpancreatictumoranddecompensationoflivercirrhosisacasereportandliteraturereview AT jueli pregnancycomplicatedwithagiantpancreatictumoranddecompensationoflivercirrhosisacasereportandliteraturereview AT yiyu pregnancycomplicatedwithagiantpancreatictumoranddecompensationoflivercirrhosisacasereportandliteraturereview AT lirongteng pregnancycomplicatedwithagiantpancreatictumoranddecompensationoflivercirrhosisacasereportandliteraturereview AT juntaoliu pregnancycomplicatedwithagiantpancreatictumoranddecompensationoflivercirrhosisacasereportandliteraturereview AT xinyanliu pregnancycomplicatedwithagiantpancreatictumoranddecompensationoflivercirrhosisacasereportandliteraturereview AT pingpeng pregnancycomplicatedwithagiantpancreatictumoranddecompensationoflivercirrhosisacasereportandliteraturereview AT qianzhou pregnancycomplicatedwithagiantpancreatictumoranddecompensationoflivercirrhosisacasereportandliteraturereview AT congcongliu pregnancycomplicatedwithagiantpancreatictumoranddecompensationoflivercirrhosisacasereportandliteraturereview |