妊娠晚期骨肉瘤复发剖宫产麻醉处理1例

骨肉瘤大多发生于15～25岁青少年,发病率为每年每百万人2～3例,占恶性肿瘤发生的0.2%[1],联合新辅助疗法使位于肢体末端非转移性骨肉瘤的治愈率为60%～70%[2],局部肿瘤的复发预示预后不良[3-5]。孕期发现骨肉瘤通常建议

A case of anesthesia for caesarean section in a late pregnant woman with recurrent femoral osteosarcoma

Osteosarcoma is the most common malignant tumor primarily originated from bone, yet puerpera with osteosarcoma is exceedingly rare. We present here a case of a 27-year-old woman who was operated for femoral osteosarcoma 2 years ago. With emergency admission to Peking University Third Hospital she was diagnosed with recurrent osteosarcoma during the second trimester of pregnancy. As pregnancy might promote tumor development, the general principle demanded timely termination of pregnancy after diagnosis, but the patient insisted on giving up all her comprehensive cancer treatment. As a result, a well made plan for the protection of mother and child was carries out to perform cesarean delivery at the end of 32 weeks of gestation under general anesthesia. The baby was delivered successfully and the mother's condition was kept stable. This case highlighted the benefits of multidisciplinary cooperation and balanced the needs of the developing fetus with those of the mother.