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Časopis Clinical urology – Článok Urological tumours in pregnancy

Clinical urology

Postgraduate scientific medical journal. Magazine Slovak Association of Urology.
Period 3x per year
1336-7579
The journal is indexed in the Slovak National Bibliography, Bibliographiia Medica Slovaca (BMS) and listed to citation database CiBaMed. All articles are reviewed. The publisher does not bear any responsibility for data and opinions of particular authors of the articles or advertisements. The articles on grey pages are company promotions or non reviewed information, an author is responsible for the content. Any reproduction of the content is allowed only with direct consent of the editorial office.
Predplatné
Clinical urology
Clinical urology
Postgraduate scientific medical journal. Magazine Slovak Association of Urology.
Period 3x per year
Predplatné
Téma: 

Urological tumours in pregnancy

Jozef Marenčák, Rudolf Moro, Eduard Králik, Patrícia Rusková

Introduction: The overall incidence of malignancies during pregnancy is 2.35 in 10 000 pregnant women. Urological tumours occur in pregnancy rare – with an incidence of 1 in 1000 pregnancies. However, there is no evidence of an increased incidence of malignant neoplasm in pregnant women. Objective: Retrospective evaluation of occurrence of symptoms (particularly macroscopic haematuria), diagnosis and treatment of urological tumours in pregnant women and provide an overview of the current management of urinary tract tumours diagnosed during pregnancy. Material and methods: From 1. 1. 1985 to 31. 12. 2013 a total 10 pregnant women (mean age 28.5, range 21-41 years) were examined and treated for malignancies of the urinary tract in the Department of Urology, University Hospital Skalica. Urological malignancies were: bladder tumours (6 x), kidney cancer (2 x), cancer of the urethra (1 x) and urothelial neoplasm of ureter (1 x). Macroscopic, painless haematuria was present in 7 from 10 pregnant women afflicted with malignant tumours of the urinary tract. The diagnosis was established based on history, clinical signs, laboratory tests, ultrasonography, magnetic resonance imaging, cystoscopy, and in one case by using flexible ureteronoscopy. The presence of urological tumours was confirmed in two women in the first trimester and the remaining 8 women in the second and third trimesters of pregnancy. Treatment of cancer during pregnancy: transurethral resection and coagulation of bladder tumours, electrocoagulation of urothelial tumour in the ureter and urethra cancer resection. Cancer of the kidney and retroperitoneum were solved in a standard way after birth. Benign tumours of the urinary system were shown in 11 women (mean age 24, range 19-43 years): urethral caruncle (4 x), angiomyolipoma of the kidney (2 x), fibroepithelial polyp of bladder (2 x), granuloma gravidarum urethrae (2 x) and retroperitoneal leiomyoma (1 x). Results: All women with urological malignancies detected and treated during pregnancy or shortly after birth are still oncologically okay and 8 from 10 is still regularly inspected. In one woman with renal angiomyolipoma urgent nephrectomy for retroperitoneal haemorrhage was needed 10 months after birth. Conclusions: The diagnosis of cancers of the urinary tract in pregnancy is not always easy. Tumour type and duration of pregnancy makes the choice and timing of treatment options to minimize risk for both – the mother and the foetus. It is alwaysnecessary interdisciplinary cooperation and consent (with proposed – almost always individual) approach obtained from a well – informed patient and her family.

pregnancy, urinary tract tumours, diagnosis, treatment
Klin. urol. 2014; 10 (1): 12-17

Ročník 2014  Témy časopisu Clinical urology 1 / 2014

Vladimír Bartoš1, Juraj Mikuláš2, Roman Mráz2
Jozef Marenčák, Rudolf Moro, Eduard Králik, Patrícia Rusková

Jozef Marenčák, Rudolf Moro, Eduard Králik, Dymitry Lapatko
Michal Peteja, Ivan Viľcha, Ivan Minčík, Richard Ľuník

Vincent Nagy1, Ivica Lazúrová2, Ingrid Dravecká2, Jagienka Jautová3, Janette Baloghová3, Ladislav Valanský1, Ľubomír Lachváč1
Monika Kmeťová-Sivoňová1, Marta Vilčková1, Svetlana Grobarčíková2, Jana Jurečeková1, Dušan Dobrota1, Ján Kliment2

Jaroslav Beck1, Tatiana Baltesová2, Ľuboš Tešľa1, Štefan Hulík3, Erik Tóth3, Vincent Nagy1, Ladislav Valanský1, Ľuboslav Beňa2, Peter Závacký3

Ľuboš Tešľa, Vincent Nagy
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Period 3x per year
1336-7579
The journal is indexed in the Slovak National Bibliography, Bibliographiia Medica Slovaca (BMS) and listed to citation database CiBaMed. All articles are reviewed. The publisher does not bear any responsibility for data and opinions of particular authors of the articles or advertisements. The articles on grey pages are company promotions or non reviewed information, an author is responsible for the content. Any reproduction of the content is allowed only with direct consent of the editorial office.
Predplatné
Clinical urology
Clinical urology
Postgraduate scientific medical journal. Magazine Slovak Association of Urology.
Period 3x per year
Predplatné