2021, Número 10
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Ginecol Obstet Mex 2021; 89 (10)
Tumor de Brenner maligno y embarazo. Caso clínico: revisión de la bibliografía
Loayza-Escalante ML, Cuadra-Espinilla M, Romero-Figueroa KB, Rodelgo-del Pino A, Sanz-García V, Bermejo- Aycart JI
Idioma: Español
Referencias bibliográficas: 17
Paginas: 839-849
Archivo PDF: 381.43 Kb.
RESUMEN
Antecedentes: La asociación del tumor de Brenner con el embarazo es excepcional:
solo hay cuatro casos reportados, ninguno maligno.
Caso clínico: Paciente de 33 años, con antecedente de un embarazo que finalizó
mediante parto y sin contratiempos, sin antecedentes médico-quirúrgicos de interés.
En la ecografía de la décima segunda semana se registró una imagen sonoluscente
de paredes lisas, de 41 mm, dependiente del ovario izquierdo. Durante la cesárea se
practicó la tumorectomía. El estudio histológico describió una neoplasia epitelial de
células transicionales, con áreas benignas, proliferativas e infiltrativas, compatible
con un tumor de Brenner maligno. Se trató con cirugía radical de cáncer de ovario y
quimioterapia coadyuvante.
Conclusiones: Es importante tener en mente al tumor de Brenner maligno como
diagnóstico de exclusión ante tumoraciones de rápido y gran crecimiento durante
el embarazo. En todas las ecografías de seguimiento del embarazo es indispensable
valorar los anejos.
REFERENCIAS (EN ESTE ARTÍCULO)
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