Treatment of a Pregnant Woman with Myxoid Liposarcoma: A Case Report.

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We report a case of a 28-year-old pregnant woman with myxoid liposarcoma. She had been suffering from pain in her left thigh when she consulted an orthopaedic surgeon in the 29th week of pregnancy. A large mass was detected in her left thigh, and she was referred to Kyushu university Hospital in the 31st week of her pregnancy. A needle biopsy revealed that the histology of the tumor was myxoid liposarcoma. We therefore induced an early delivery and the patient delivered a 2085g baby in the 33rd week of her pregnancy. The baby was cared for 7 weeks in the Maternity and perinatal Care Unit and discharged in a good condition. The tumor was too big for a limb salvage procedure without any pre-operative adjuvant therapy. Therefore, the patient underwent radiotherapy in combination with hyperthermia. During the therapy, she breastfed her baby. The tumor markedly decreased in size and we were able to perform a limb salvage procedure 5 weeks after the delivery. After 14 weeks from the delivery, the patient was able to walk without a crutch. Ten months after the operation, she is now free from the disease.
西日本整形・災害外科学会の論文