妊娠中の外陰部浸潤性Paget病の治療。症例報告

Treatment of invasive Paget's disease of the vulva in pregnancy: A case report.

• Kelly H Bruce
• Arthur-Quan M Tran

抄録

-妊娠中のラディカル膣口切除術、センチネルリンパ節生検、鼠径部リンパ節摘出術は安全で実行可能である。-最近外陰部手術を受けた妊婦に対しては、一次帝王切開による分娩を検討することができます。

•Invasive adenocarcinoma of the vulva arising from extramammary Paget's disease is possible in women of child-bearing age.•Radical vulvectomy, sentinel lymph node biopsy, and inguinal lymphadenectomy are safe and feasible during pregnancy.•Chemotherapy may be used as adjuvant therapy for vulvar adenocarcinoma during pregnancy when radiation is contraindicated.•Primary cesarean delivery may be considered for pregnant women with recent vulvar surgery.•Trastuzumab may be considered for maintenance therapy of Her2/Neu positive vulvar cancer in postpartum women.

© 2020 The Authors.