Carlos Manuel Espinosa-García, C. Ramírez-Isarraraz, Es Rodríguez-Colorado, Viridiana Gorbea-Chávez, Verónica Granados-Martínez
de arterias uterinas; cesárea; histerectomía. Abstract BACKGROUND: Obstetric genitourinary fistulas can cause as a complication of uter- ine artery embolization due to necrosis of the uterus and/or bladder. Vaginal surgical treatment is a less invasive option with success rates of up to 84.12%. CLINICAL CASE : A 40-year-old woman who came with a pregnancy of 35 5/7 weeks and placenta accreta, which was managed with uterine arteries embolization and obstetric hysterectomy after caesarean section. At 3 weeks she had vaginal urine loss; by physical examination and with support of dye test, cystoscopy and retrograde cys-tography, obstetric vesicovaginal fistula was diagnosed. After the improvement of the inflammatory process, vaginal fistulectomy was performed with modification of the Latzko technique. Its postoperative evolution was satisfactory and without recurrence of the fistula during the follow-up in the outpatient clinic. CONCLUSION: This is the fifth case of post-embolization bladder necrosis reported in the literature. The favorable resolution of this case allows us to conclude that vaginal fistulectomy is a viable and safe alternative in the surgical treatment of this type of obstetric fistulas.
{"title":"Fistulectomía vaginal exitosa en un caso de fístula vesicovaginal obstétrica por embolización de arterias uterinas","authors":"Carlos Manuel Espinosa-García, C. Ramírez-Isarraraz, Es Rodríguez-Colorado, Viridiana Gorbea-Chávez, Verónica Granados-Martínez","doi":"10.24245/gom.v88i3.3662","DOIUrl":"https://doi.org/10.24245/gom.v88i3.3662","url":null,"abstract":"de arterias uterinas; cesárea; histerectomía. Abstract BACKGROUND: Obstetric genitourinary fistulas can cause as a complication of uter- ine artery embolization due to necrosis of the uterus and/or bladder. Vaginal surgical treatment is a less invasive option with success rates of up to 84.12%. CLINICAL CASE : A 40-year-old woman who came with a pregnancy of 35 5/7 weeks and placenta accreta, which was managed with uterine arteries embolization and obstetric hysterectomy after caesarean section. At 3 weeks she had vaginal urine loss; by physical examination and with support of dye test, cystoscopy and retrograde cys-tography, obstetric vesicovaginal fistula was diagnosed. After the improvement of the inflammatory process, vaginal fistulectomy was performed with modification of the Latzko technique. Its postoperative evolution was satisfactory and without recurrence of the fistula during the follow-up in the outpatient clinic. CONCLUSION: This is the fifth case of post-embolization bladder necrosis reported in the literature. The favorable resolution of this case allows us to conclude that vaginal fistulectomy is a viable and safe alternative in the surgical treatment of this type of obstetric fistulas.","PeriodicalId":12654,"journal":{"name":"Ginecologia y obstetricia de Mexico","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48881112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Johana Santa María-Ortiz, E. Álvarez-Silvares, M. Alves-Pérez, Sandra García-Lavandeira
{"title":"Maternal and neonatal outcomes in advanced maternal age","authors":"Johana Santa María-Ortiz, E. Álvarez-Silvares, M. Alves-Pérez, Sandra García-Lavandeira","doi":"10.24245/gom.v88i2.3215","DOIUrl":"https://doi.org/10.24245/gom.v88i2.3215","url":null,"abstract":"","PeriodicalId":12654,"journal":{"name":"Ginecologia y obstetricia de Mexico","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43208169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Guillermo Federico Ortíz-Luna, Arturo Arellano-Eguiluz, Alicia Sánchez-Ceballos, Cinthya Salazar-Jiménez, L. E. D. Barco, A. Zavala-García
OBJECTIVE: Categorize the demographic, biochemical and symptomatic profile of the Mexican population served at the Instituto Nacional de Perinatología to describe their behavior in the stages of reproductive aging. MATERIALS AND METHODS: The following is an observational, descriptive, cross sectional study women from the Peri- and Postmenopause clinic at the National Insti-tute of Perinatology in Mexico that enrolled 741 women over 41 years of age with a diagnosis of menopause according to the STRAW+10 criteria and classified in three categories: Category 1 (-2 to -1), Category 2 (+1A to +1C), and Category 3 (+2). The statistical analysis was performed by measure of central tendency, c 2 and ANOVA for the inferential analysis. RESULTS: In our population of 741 women, the average age at menopause was 50.08 years, while the population’s age average was 57.11 years. Average body mass index was 27.92 kg/m2, with 56.2% of the population within obesity range. The most prevalent comorbidity was arterial hypertension and the most frequent symptom was hot flushes. Hot flushes were most prevalent during the transition to menopause.
{"title":"Descripción demográfica, bioquímica y sintomática según los estadios reproductivos STRAW+10 en mujeres mexicanas en la peri y posmenopausia","authors":"Guillermo Federico Ortíz-Luna, Arturo Arellano-Eguiluz, Alicia Sánchez-Ceballos, Cinthya Salazar-Jiménez, L. E. D. Barco, A. Zavala-García","doi":"10.24245/gom.v88i1.3282","DOIUrl":"https://doi.org/10.24245/gom.v88i1.3282","url":null,"abstract":"OBJECTIVE: Categorize the demographic, biochemical and symptomatic profile of the Mexican population served at the Instituto Nacional de Perinatología to describe their behavior in the stages of reproductive aging. MATERIALS AND METHODS: The following is an observational, descriptive, cross sectional study women from the Peri- and Postmenopause clinic at the National Insti-tute of Perinatology in Mexico that enrolled 741 women over 41 years of age with a diagnosis of menopause according to the STRAW+10 criteria and classified in three categories: Category 1 (-2 to -1), Category 2 (+1A to +1C), and Category 3 (+2). The statistical analysis was performed by measure of central tendency, c 2 and ANOVA for the inferential analysis. RESULTS: In our population of 741 women, the average age at menopause was 50.08 years, while the population’s age average was 57.11 years. Average body mass index was 27.92 kg/m2, with 56.2% of the population within obesity range. The most prevalent comorbidity was arterial hypertension and the most frequent symptom was hot flushes. Hot flushes were most prevalent during the transition to menopause.","PeriodicalId":12654,"journal":{"name":"Ginecologia y obstetricia de Mexico","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45555121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Karla Judith Delgado-Arévalo, R. González-Habib, Israel Castro-Torres, Gordon Bennett-Vidales, C. Cruz
{"title":"Tamizaje del estreptococo del grupo B durante el embarazo: conducta actual en un centro de tercer nivel","authors":"Karla Judith Delgado-Arévalo, R. González-Habib, Israel Castro-Torres, Gordon Bennett-Vidales, C. Cruz","doi":"10.24245/gom.v88i2.3716","DOIUrl":"https://doi.org/10.24245/gom.v88i2.3716","url":null,"abstract":"","PeriodicalId":12654,"journal":{"name":"Ginecologia y obstetricia de Mexico","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47524341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Janine Rosario Gutiérrez-Estrella, Francisco Mejía-Romo, Julio César Cárdenas-Valdez
BACKGROUND: Klippel-Trenaunay syndrome is a neurocutaneous syndrome with vascular repercussion whose characteristic triad is a cutaneous vascular nevus, varicose veins and asymmetric soft tissue and bone hypertrophy, which affect one or more limbs, during pregnancy these malformations increase, with pelvic and intra-abdominal repercussion. In the world literature, fewer than 100 cases of complicated pregnancies with this syndrome have been reported. OBJECTIVE: The second case of complicated pregnancy with Klippel-Trenaunay syndrome treated in our institution is reported, given its high morbidity, due to the high risk of severe complications such as venous thromboembolism or excessive bleeding in the intrapartum period. CLINICAL CASE: A 16-year-old, with a Klippel-Trenaunay syndrome diagnosed at fifteen, sent to our unit, with a third-trimester pregnancy, for resolution of pregnancy. Preoperative studies were performed blood count, coagulation tests, reported without alterations; as well as Doppler ultrasound of the uterine segment, without an increase in vasculature. It is scheduled for caesarean section, which is performed without intraoperative complications, with total bleeding of 600 cc, with an increase in vascularity at the colon level. She remains in immediate postoperative surveillance for 48 hours in an intensive care unit, without presenting haemorrhagic or ischemic complications. She is discharged at 72 hours, with thromboprophylaxis, analgesic and antibiotic. Janine Rosario Gutiérrez-Estrella,1 Francisco Mejía-Romo,2 Julio César Cárdenas-Valdez3
背景：Klippel-Trenaunay综合征是一种具有血管反应的神经皮肤综合征，其特征三联征是皮肤血管痣、静脉曲张、不对称软组织和骨骼肥大，影响一个或多个肢体，妊娠期间这些畸形增加，伴有盆腔和腹内反应。在世界文献中，只有不到100例患有这种综合征的复杂妊娠病例被报道。目的：报告在我院治疗的第二例Klippel-Trenaunay综合征并发妊娠的病例，因为其发病率很高，产时发生静脉血栓栓塞或过度出血等严重并发症的风险很高。临床病例：一名16岁的女孩，15岁时被诊断为Klippel Trenaunay综合征，因妊娠晚期被送往我们的病房，以解决妊娠问题。术前研究进行了血液计数、凝血测试，报告没有改变；以及子宫段的多普勒超声而不增加脉管系统。计划进行剖腹产手术，没有术中并发症，总出血量为600毫升，结肠血管增加。她在重症监护室接受了48小时的术后即时监测，没有出现出血或缺血性并发症。她在72小时出院，服用了血栓预防、镇痛药和抗生素。Janine Rosario Gutiérrez Estrella，1 Francisco Mejía-Romo，2 Julio César Cárdenas-Valdez3
{"title":"Síndrome Klippel-Trenaunay en el embarazo. Reporte de un caso","authors":"Janine Rosario Gutiérrez-Estrella, Francisco Mejía-Romo, Julio César Cárdenas-Valdez","doi":"10.24245/gom.v88i3.3225","DOIUrl":"https://doi.org/10.24245/gom.v88i3.3225","url":null,"abstract":"BACKGROUND: Klippel-Trenaunay syndrome is a neurocutaneous syndrome with vascular repercussion whose characteristic triad is a cutaneous vascular nevus, varicose veins and asymmetric soft tissue and bone hypertrophy, which affect one or more limbs, during pregnancy these malformations increase, with pelvic and intra-abdominal repercussion. In the world literature, fewer than 100 cases of complicated pregnancies with this syndrome have been reported. OBJECTIVE: The second case of complicated pregnancy with Klippel-Trenaunay syndrome treated in our institution is reported, given its high morbidity, due to the high risk of severe complications such as venous thromboembolism or excessive bleeding in the intrapartum period. CLINICAL CASE: A 16-year-old, with a Klippel-Trenaunay syndrome diagnosed at fifteen, sent to our unit, with a third-trimester pregnancy, for resolution of pregnancy. Preoperative studies were performed blood count, coagulation tests, reported without alterations; as well as Doppler ultrasound of the uterine segment, without an increase in vasculature. It is scheduled for caesarean section, which is performed without intraoperative complications, with total bleeding of 600 cc, with an increase in vascularity at the colon level. She remains in immediate postoperative surveillance for 48 hours in an intensive care unit, without presenting haemorrhagic or ischemic complications. She is discharged at 72 hours, with thromboprophylaxis, analgesic and antibiotic. Janine Rosario Gutiérrez-Estrella,1 Francisco Mejía-Romo,2 Julio César Cárdenas-Valdez3","PeriodicalId":12654,"journal":{"name":"Ginecologia y obstetricia de Mexico","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48830282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ángel Saucedo-López, Rafael Topete-Estrada, Alfonso Saucedo-López, Alejandra Gómez-Fernández
{"title":"Incidental splenic injury during laparoscopic gynecological surgery associated with the entry technique. A case report and literature review","authors":"Ángel Saucedo-López, Rafael Topete-Estrada, Alfonso Saucedo-López, Alejandra Gómez-Fernández","doi":"10.24245/gom.v88i6.3864","DOIUrl":"https://doi.org/10.24245/gom.v88i6.3864","url":null,"abstract":"","PeriodicalId":12654,"journal":{"name":"Ginecologia y obstetricia de Mexico","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44578232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BACKGROUND: Seizures during pregnancy are the most frequent neurological com- plication. Most occur in patients with epilepsy. When the first crisis appears during pregnancy, the cause must be determined. FIRST CASE: A 28-year-old patient with a history of high blood pressure. She was in the late puerperium with over-added preeclampsia when she presented three seizures. She went to the emergency room and started magnesium sulfate, evolving to epileptic status. Neuroimaging studies were performed and reported thrombosis of the left frontal cortical vein. Neuroprotection measures were applied with adequate clinical evolution. She was discharge without motor, sensory and cognitive deficits. SECOND CASE: A 22-year-old patient with a history of a chronic progressive external ophthalmoplegia mitochondrial cytopathy. She was in her first pregnancy without pre-natal control. At the 28 week she began with headache and had a seizure. She went to the emergency department with high blood pressure, so she was given antihypertensive therapy and magnesium sulfate. Neuroimaging studies reported a posterior reversible behavior or may be life-threatening. We propose a diagnostic algorithm for the approach of these patients, highlighting the clinical suspicion of other causes of seizures as the main indication of imaging studies.
{"title":"Estudios de imagen cerebral en el diagnóstico diferencial de enfermedades hipertensivas del embarazo y convulsiones. Reporte de dos casos","authors":"Fernando Urquiza y Conde, J. A. Hernández-Pacheco","doi":"10.24245/gom.v88i4.3630","DOIUrl":"https://doi.org/10.24245/gom.v88i4.3630","url":null,"abstract":"BACKGROUND: Seizures during pregnancy are the most frequent neurological com- plication. Most occur in patients with epilepsy. When the first crisis appears during pregnancy, the cause must be determined. FIRST CASE: A 28-year-old patient with a history of high blood pressure. She was in the late puerperium with over-added preeclampsia when she presented three seizures. She went to the emergency room and started magnesium sulfate, evolving to epileptic status. Neuroimaging studies were performed and reported thrombosis of the left frontal cortical vein. Neuroprotection measures were applied with adequate clinical evolution. She was discharge without motor, sensory and cognitive deficits. SECOND CASE: A 22-year-old patient with a history of a chronic progressive external ophthalmoplegia mitochondrial cytopathy. She was in her first pregnancy without pre-natal control. At the 28 week she began with headache and had a seizure. She went to the emergency department with high blood pressure, so she was given antihypertensive therapy and magnesium sulfate. Neuroimaging studies reported a posterior reversible behavior or may be life-threatening. We propose a diagnostic algorithm for the approach of these patients, highlighting the clinical suspicion of other causes of seizures as the main indication of imaging studies.","PeriodicalId":12654,"journal":{"name":"Ginecologia y obstetricia de Mexico","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41335375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-15DOI: 10.24245/gom.v88i11.4177
Alonso de Jesús Ortegón-López, Sandra Acevedo-Gallegos, J. M. Gallardo-Gaona, Berenice Velázquez-Torres, J. A. Ramírez-Calvo, Dulce Maria Camarena-Cabrera, Yazmín Copado-Mendoza, M. Aguinaga-Ríos
OBJECTIVE: Determine the prevalence of omphalocele, describe its characteristics, its relationship to other fetal defects and congenital syndromes in a third level of care referral center. MATERIALS AND METHODS: Retrospective, retrolective, case series study, carried out by reviewing the records of patients attended in the defects clinic of the Maternal-Fetal Medicine Department of the Instituto Nacional de Perinatología between 2007 and 2019. Inclusion criteria: patients with prenatal diagnosis of omphalocele, with prenatal care and termination of pregnancy at the Institute. Prevalence was calculated, char- acteristics of the defect, perinatal outcomes, other related defects and coexistence of genetic diseases were described. Descriptive statistics were used to analyze the results. RESULTS: Sixty-two files were reviewed and it was found that the prevalence of the defect was 1 case per-1000 newborns in the period studied. The average age of the mothers was 26.7 (15 to 41) years and the weeks of pregnancy at birth 35.6 (25 to 41.1). Giant omphalocele was found in 39 patients. Thirty-seven cases of omphalocele related to other structural defects were identified; 21 of the 62 neonates died. CONCLUSION: The omphalocele is a heterogeneous and multifactorial defect; having the knowledge of its behavior, describing the characteristics of the defect, its association with other congenital and genetic defects allows us its prenatal and post-birth approach in an optimal way, Prenatal ultrasound is a useful tool for its diagnosis and surveillance.
{"title":"Diagnóstico y seguimiento prenatal de pacientes con onfalocele","authors":"Alonso de Jesús Ortegón-López, Sandra Acevedo-Gallegos, J. M. Gallardo-Gaona, Berenice Velázquez-Torres, J. A. Ramírez-Calvo, Dulce Maria Camarena-Cabrera, Yazmín Copado-Mendoza, M. Aguinaga-Ríos","doi":"10.24245/gom.v88i11.4177","DOIUrl":"https://doi.org/10.24245/gom.v88i11.4177","url":null,"abstract":"OBJECTIVE: Determine the prevalence of omphalocele, describe its characteristics, its relationship to other fetal defects and congenital syndromes in a third level of care referral center. MATERIALS AND METHODS: Retrospective, retrolective, case series study, carried out by reviewing the records of patients attended in the defects clinic of the Maternal-Fetal Medicine Department of the Instituto Nacional de Perinatología between 2007 and 2019. Inclusion criteria: patients with prenatal diagnosis of omphalocele, with prenatal care and termination of pregnancy at the Institute. Prevalence was calculated, char- acteristics of the defect, perinatal outcomes, other related defects and coexistence of genetic diseases were described. Descriptive statistics were used to analyze the results. RESULTS: Sixty-two files were reviewed and it was found that the prevalence of the defect was 1 case per-1000 newborns in the period studied. The average age of the mothers was 26.7 (15 to 41) years and the weeks of pregnancy at birth 35.6 (25 to 41.1). Giant omphalocele was found in 39 patients. Thirty-seven cases of omphalocele related to other structural defects were identified; 21 of the 62 neonates died. CONCLUSION: The omphalocele is a heterogeneous and multifactorial defect; having the knowledge of its behavior, describing the characteristics of the defect, its association with other congenital and genetic defects allows us its prenatal and post-birth approach in an optimal way, Prenatal ultrasound is a useful tool for its diagnosis and surveillance.","PeriodicalId":12654,"journal":{"name":"Ginecologia y obstetricia de Mexico","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45613226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L. C. Jiménez-Ibáñez, Yazmin del Socorro Conde-Gutierrez, Juan Antonio Torres-Trejo
{"title":"Hipotiroidismo asociado con infertilidad en mujeres en edad reproductiva","authors":"L. C. Jiménez-Ibáñez, Yazmin del Socorro Conde-Gutierrez, Juan Antonio Torres-Trejo","doi":"10.24245/gom.v88i5.3156","DOIUrl":"https://doi.org/10.24245/gom.v88i5.3156","url":null,"abstract":"","PeriodicalId":12654,"journal":{"name":"Ginecologia y obstetricia de Mexico","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43074015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Carlos Reyna-Castelán, Sandra Nayeli Robledo-Márquez, Dafne Andrea López-Salazar
BACKGROUND: Hodgkin lymphoma during pregnancy accounts for 4 th place in the neoplasms. Pregnancy has no impact on the natural history of the disease; however, it hinders treatment, which is individualized from a clinical evaluation and based on staging. CLASSIC CASE: Patient 18 years of age, with pregnancy of 35 weeks gestation, who is referred to the external consultation of Oncology Gynecology by increased volume in right axillary region with deep palpation pain. During its examination presence of 3 x 3.5 cm mobile node, on the right side of the axillary region, and left inguinal adenopa-thy >1 cm. The ultrasound reported right breast with solid mass, homogeneous, sharp edges, 38 x 35 mm and volume of 20.84 cc, doppler color with increased vascularity, is staged as BIRADS 3. Cesarean section was performed, with male birth, weight; 2900 g Apgar 8/9 without incident report. In the periareolar excisional biopsy, eight axillary lymph nodes were removed. Immunohistochemistry confirmed a classic LH-compatible lymphoproliferative process with CD30+, KI67 50% mixed cellularity. The hematology service decides management based on chemotherapy with ABVD protocol in 6 blocks, without radiotherapy. Currently it is evolving smoothly after six months of surgery, there was no corroborate of palpable nodes, and so far treatment, without reports of relapses or reaction to medications.
背景：妊娠期霍奇金淋巴瘤在肿瘤中占第4位。妊娠对疾病的自然史没有影响；然而，它阻碍了根据临床评估和分期进行个性化治疗。典型病例：患者18岁，妊娠35周，因右腋窝体积增加伴深部触诊疼痛而转诊至妇科肿瘤科外部会诊。在检查过程中，腋窝右侧有3 x 3.5 cm的活动淋巴结，左侧腹股沟腺癌厚度>1 cm。超声报告右侧乳房肿块实性，均匀，边缘锋利，38 x 35 mm，体积20.84 cc，多普勒彩色，血管增加，分期为BIRADS 3。剖宫产，产男，体重；2900g Apgar 8/9，无事故报告。在乳晕周围切除活组织检查中，切除了8个腋窝淋巴结。免疫组织化学证实了典型的LH相容性淋巴增生过程，CD30+，KI67 50%混合细胞。血液学服务部门决定在6个区块采用ABVD方案进行化疗的基础上进行管理，不进行放射治疗。目前，经过六个月的手术，它进展顺利，没有可触及的淋巴结的证实，到目前为止，也没有治疗，也没有复发或药物反应的报告。
{"title":"Linfoma de Hodgkin durante el embarazo: reporte de un caso","authors":"Carlos Reyna-Castelán, Sandra Nayeli Robledo-Márquez, Dafne Andrea López-Salazar","doi":"10.24245/gom.v88i1.1972","DOIUrl":"https://doi.org/10.24245/gom.v88i1.1972","url":null,"abstract":"BACKGROUND: Hodgkin lymphoma during pregnancy accounts for 4 th place in the neoplasms. Pregnancy has no impact on the natural history of the disease; however, it hinders treatment, which is individualized from a clinical evaluation and based on staging. CLASSIC CASE: Patient 18 years of age, with pregnancy of 35 weeks gestation, who is referred to the external consultation of Oncology Gynecology by increased volume in right axillary region with deep palpation pain. During its examination presence of 3 x 3.5 cm mobile node, on the right side of the axillary region, and left inguinal adenopa-thy >1 cm. The ultrasound reported right breast with solid mass, homogeneous, sharp edges, 38 x 35 mm and volume of 20.84 cc, doppler color with increased vascularity, is staged as BIRADS 3. Cesarean section was performed, with male birth, weight; 2900 g Apgar 8/9 without incident report. In the periareolar excisional biopsy, eight axillary lymph nodes were removed. Immunohistochemistry confirmed a classic LH-compatible lymphoproliferative process with CD30+, KI67 50% mixed cellularity. The hematology service decides management based on chemotherapy with ABVD protocol in 6 blocks, without radiotherapy. Currently it is evolving smoothly after six months of surgery, there was no corroborate of palpable nodes, and so far treatment, without reports of relapses or reaction to medications.","PeriodicalId":12654,"journal":{"name":"Ginecologia y obstetricia de Mexico","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49246903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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