Sarcomas durante el embarazo: reporte de dos casos y revisión de la literatura

Francisco Ibargüengoitia-Ochoa; Josefina Lira-Plascencia; Fabiola Gallardo- Gómez; Carlos Rubén Mustre-Juarez; Sergio Sepúlveda-Rivera; Arturo Maximiliano Ruiz Beltrán; Cintia María Sepúlveda Rivera

doi:10.31403/rpgo.v66i2296

Authors

Francisco Ibargüengoitia-Ochoa Gynecology and obstetrics department, National Institute of Perinatology, Mexico City, Mexico
Josefina Lira-Plascencia Adolescence department, National Institute of Perinatology, Mexico City, Mexico
Fabiola Gallardo- Gómez Gynecology and obstetrics department, National Institute of Perinatology, Mexico City, Mexico
Carlos Rubén Mustre-Juarez Gynecology and obstetrics department, National Institute of Perinatology, Mexico City, Mexico
Sergio Sepúlveda-Rivera Nutrition department, Universidad de Sonora, México
Arturo Maximiliano Ruiz Beltrán Internal medicine department, National Institute of Medical Sciences and Nutrition, Salvador Zubirán, Mexico
Cintia María Sepúlveda Rivera Gynecology and obstetrics department, National Institute of Perinatology, Mexico City, Mexico

DOI:

https://doi.org/10.31403/rpgo.v66i2296

Keywords:

Pregnancy, Ewing Sarcoma, Rhabdomyosarcoma

Abstract

Objective: To present the perinatal results of two patients diagnosed with Ewing's sarcoma and alveolar rhabdomyosarcoma. Methodology: Two cases of patients with a diagnosis of sarcoma treated at the National Institute of Perinatology in Mexico City were reviewed. Results: Case 1, a 22-year-old female, with a 23.0-week pregnancy and a 20-cm tumor in the left gluteal region, pain and difficulty walking. The chest radiograph revealed multiple pulmonary nodules and the magnetic resonance imaging revealed a tumor in the gluteal region with extensive involvement. The diagnosis was stage IV metastatic Ewing sarcoma. Management consisted of symptomatic treatment with resolution of the pregnancy at 28 weeks. Case 2, a 22-year-old female with a 12.0-week pregnancy and a diagnosis of metastatic spinal cord syndrome. T9-11 decompression was performed. Absence of fetal heart rate was evidenced, so medical management of deferred abortion was performed.