| Title |
Salivary gland carcinoma with distant metastases and pregnancy – multidisciplinary challenges |
| Authors |
Miškinytė, Sigutė ; Bartuševičienė, Ieva ; Žukienė, Guoda ; Laužikienė, Dalia ; Ramašauskaitė, Diana ; Šipylaitė, Jūratė ; Gasiūnaitė, Diana |
| Full Text |
|
| Is Part of |
Medicinos mokslai = Journal of medical sciences.. Kėdainiai : Lietuvos sveikatos mokslinių tyrimų centras. 2023, vol. 11, iss. 3, p. 30-38.. eISSN 2345-0592 |
| Keywords [eng] |
salivary gland carcinoma ; pregnanc ; , multidisciplinary team ; difficult airways |
| Abstract [eng] |
Background. Although salivary gland cancer is rare, its rapid progression during pregnancy is reported in literature and presents complex challenges to the medical team. In this article we describe the challenges that the multidisciplinary team faced, in detail describing an anticipated complicated anesthesia during the Cesarean section due to the advanced liver disease and difficult airways after cancer removal surgery. Case report. A 35 year old female patient was diagnosed with adenoidal cystic salivary gland carcinoma with distant metastases. Surgery was performed to remove the primary tumor and the metastases, chemotherapy, and an anti-cancer medication Lenvatinib were used to treat the remaining metastases. The patient then presented to the emergency room at 26 weeks pregnant with complaints related to the rapidly progressing oncological disease and metastases in the liver. She was hospitalized, treated with Lenvatinib, betamethasone to prevent newborn respiratory distress syndrome and a Cesarean section was planned to be performed at 32 weeks of pregnancy to save the patient’s life. Conclusions. Pregnant patients with malignant tumors need multidisciplinary care and management, as well as individualized decision making about the pregnancy, delivery and the treatment of cancer along with the management of the consequences. |
| Published |
Kėdainiai : Lietuvos sveikatos mokslinių tyrimų centras |
| Type |
Journal article |
| Language |
English |
| Publication date |
2023 |
| CC license |
|
