Montemayor-Villalón CH, López-Martínez N, Morales-Ávalos R, Baena-Trejo JM

Language: Spanish
References: 10
Page: 79-83
PDF size: 310.74 Kb.

ABSTRACT

Background: The management of the Buschke-Löwenstein tumor in pregnancy is controversial, preferring its treatment in the puerperium.
Objective: A clinical case report, know and expand the management of the Buschke- Löwenstein tumor, since this is considered a therapeutic challenge due to its important recurrence, high degree of malignancy and its scarce bibliography in which management is carried out during pregnancy.
Clinical case: A 17-years old patient with preventable pregnancy and diagnosis of low risk HPV infection, presents incipient genital condyloma, which does not want any management, antecedent of inadequate prenatal control and without conditions that indicate immunosuppression. Later, she entered with preterm pregnancy due to loss of fetal well-being in the third trimester, fetal involvement was ruled out, however, maternal anemia and genital stinking were found, so it was decided to successfully resect the tumor, without recurrence and ending pregnancy. Ending the pregnancy by abdominal route.
Conclusions: Buschke-Löwenstein tumor is a rare pathology related to immunosuppression, rarely occurs in pregnancy and its resolution is preferred in the puerperium. It can become a risk factor for the threat of preterm delivery due to its proinflammatory effect and generate a compromise of the binomial due to chronic maternal bleeding. It is important not to rule out your treatment during pregnancy by assessing risk benefit.

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