Massive vulval Kaposi’s sarcoma in pregnancy: case report
Identifieur interne : 002280 ( Pmc/Curation ); précédent : 002279; suivant : 002281Massive vulval Kaposi’s sarcoma in pregnancy: case report
Auteurs : Solwayo Ngwenya [Zimbabwe]Source :
- International Medical Case Reports Journal [ 1179-142X ] ; 2016.
Abstract
The complications of HIV/AIDS can produce grossly abnormal pathology. In low-resourced settings, women can present late with huge lesions. Massive vulval pathology copresenting in pregnancy produces difficulties in managing the patients and may lead to poor maternal or fetal outcomes.
A 27-year-old P1 G2 (second pregnancy one live birth) patient presented at 30 weeks gestation with a massive vulval lesion. She was HIV seropositive and taking anti-retroviral therapy. She was anemic with a hemoglobin level of 5.9 and was transfused 4.0 of packed cells. She underwent examination under anesthesia and vulval biopsy. She went into preterm labor and was delivered by cesarean section. Unfortunately, the baby had died while receiving corticosteroid therapy. The histopathological report confirmed a Kaposi’s sarcoma, and she was referred to oncologists for chemotherapy.
Kaposi’s sarcoma can occur in pregnancy in both seropositive and seronegative patients. Kaposi’s sarcoma causes significant fetal and maternal health complications.
Url:
DOI: 10.2147/IMCRJ.S111171
PubMed: 27536163
PubMed Central: 4973725
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Solwayo Ngwenya<affiliation><nlm:aff id="af1-imcrj-9-227">Department of Obstetrics and Gynaecology, Mpilo Central Hospital, Mzilikazi</nlm:aff><wicri:noCountry code="subfield">Mzilikazi</wicri:noCountry></affiliation><affiliation wicri:level="1"><nlm:aff id="af2-imcrj-9-227">Royal Women’s Clinic, Bulawayo, Matabeleland, Zimbabwe</nlm:aff><country xml:lang="fr">Zimbabwe</country><wicri:regionArea>Royal Women’s Clinic, Bulawayo, Matabeleland</wicri:regionArea></affiliation>Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Massive vulval Kaposi’s sarcoma in pregnancy: case report</title><author><name sortKey="Ngwenya, Solwayo" sort="Ngwenya, Solwayo" uniqKey="Ngwenya S" first="Solwayo" last="Ngwenya">Solwayo Ngwenya</name><affiliation><nlm:aff id="af1-imcrj-9-227">Department of Obstetrics and Gynaecology, Mpilo Central Hospital, Mzilikazi</nlm:aff><wicri:noCountry code="subfield">Mzilikazi</wicri:noCountry></affiliation><affiliation wicri:level="1"><nlm:aff id="af2-imcrj-9-227">Royal Women’s Clinic, Bulawayo, Matabeleland, Zimbabwe</nlm:aff><country xml:lang="fr">Zimbabwe</country><wicri:regionArea>Royal Women’s Clinic, Bulawayo, Matabeleland</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27536163</idno><idno type="pmc">4973725</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4973725</idno><idno type="RBID">PMC:4973725</idno><idno type="doi">10.2147/IMCRJ.S111171</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">002281</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002281</idno><idno type="wicri:Area/Pmc/Curation">002280</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002280</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Massive vulval Kaposi’s sarcoma in pregnancy: case report</title><author><name sortKey="Ngwenya, Solwayo" sort="Ngwenya, Solwayo" uniqKey="Ngwenya S" first="Solwayo" last="Ngwenya">Solwayo Ngwenya</name><affiliation><nlm:aff id="af1-imcrj-9-227">Department of Obstetrics and Gynaecology, Mpilo Central Hospital, Mzilikazi</nlm:aff><wicri:noCountry code="subfield">Mzilikazi</wicri:noCountry></affiliation><affiliation wicri:level="1"><nlm:aff id="af2-imcrj-9-227">Royal Women’s Clinic, Bulawayo, Matabeleland, Zimbabwe</nlm:aff><country xml:lang="fr">Zimbabwe</country><wicri:regionArea>Royal Women’s Clinic, Bulawayo, Matabeleland</wicri:regionArea></affiliation></author></analytic><series><title level="j">International Medical Case Reports Journal</title><idno type="eISSN">1179-142X</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Introduction</title><p>The complications of HIV/AIDS can produce grossly abnormal pathology. In low-resourced settings, women can present late with huge lesions. Massive vulval pathology copresenting in pregnancy produces difficulties in managing the patients and may lead to poor maternal or fetal outcomes.</p></sec><sec><title>Case report</title><p>A 27-year-old P1 G2 (second pregnancy one live birth) patient presented at 30 weeks gestation with a massive vulval lesion. She was HIV seropositive and taking anti-retroviral therapy. She was anemic with a hemoglobin level of 5.9 and was transfused 4.0 of packed cells. She underwent examination under anesthesia and vulval biopsy. She went into preterm labor and was delivered by cesarean section. Unfortunately, the baby had died while receiving corticosteroid therapy. The histopathological report confirmed a Kaposi’s sarcoma, and she was referred to oncologists for chemotherapy.</p></sec><sec><title>Conclusion</title><p>Kaposi’s sarcoma can occur in pregnancy in both seropositive and seronegative patients. Kaposi’s sarcoma causes significant fetal and maternal health complications.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Mcgarvey, Me" uniqKey="Mcgarvey M">ME McGarvey</name></author><author><name sortKey="Tulpule, A" uniqKey="Tulpule A">A Tulpule</name></author><author><name sortKey="Cai, J" uniqKey="Cai J">J Cai</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bagni, R" uniqKey="Bagni R">R Bagni</name></author><author><name sortKey="Whitby, D" uniqKey="Whitby D">D Whitby</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Goedert, Jj" uniqKey="Goedert J">JJ Goedert</name></author><author><name sortKey="Charurat, M" uniqKey="Charurat M">M Charurat</name></author><author><name sortKey="Blattner, Wa" uniqKey="Blattner W">WA Blattner</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sitas, F" uniqKey="Sitas F">F Sitas</name></author><author><name sortKey="Newton, R" uniqKey="Newton R">R Newton</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pantanowitz, L" uniqKey="Pantanowitz L">L Pantanowitz</name></author><author><name sortKey="Dezube, Bj" uniqKey="Dezube B">BJ Dezube</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bryant, Ae" uniqKey="Bryant A">AE Bryant</name></author><author><name sortKey="Genc, M" uniqKey="Genc M">M Genc</name></author><author><name sortKey="Hurtado, Rm" uniqKey="Hurtado R">RM Hurtado</name></author><author><name sortKey="Chen, Kt" uniqKey="Chen K">KT Chen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rajaratnam, K" uniqKey="Rajaratnam K">K Rajaratnam</name></author><author><name sortKey="Desai, S" uniqKey="Desai S">S Desai</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Brunet Possenti, F" uniqKey="Brunet Possenti F">F Brunet-Possenti</name></author><author><name sortKey="Pages, C" uniqKey="Pages C">C Pages</name></author><author><name sortKey="Rouzier, R" uniqKey="Rouzier R">R Rouzier</name></author><author><name sortKey="Dupin, N" uniqKey="Dupin N">N Dupin</name></author><author><name sortKey="Bagot, M" uniqKey="Bagot M">M Bagot</name></author><author><name sortKey="Lebbe, C" uniqKey="Lebbe C">C Lebbe</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rawlison, Kf" uniqKey="Rawlison K">KF Rawlison</name></author><author><name sortKey="Zubrow, Ab" uniqKey="Zubrow A">AB Zubrow</name></author><author><name sortKey="Harris, Ma" uniqKey="Harris M">MA Harris</name></author><author><name sortKey="Jackson, Uc" uniqKey="Jackson U">UC Jackson</name></author><author><name sortKey="Chao, S" uniqKey="Chao S">S Chao</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Adeyemo, A" uniqKey="Adeyemo A">A Adeyemo</name></author><author><name sortKey="Wood, C" uniqKey="Wood C">C Wood</name></author><author><name sortKey="Govind, A" uniqKey="Govind A">A Govind</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mccarty, Ka" uniqKey="Mccarty K">KA McCarty</name></author><author><name sortKey="Bungu, Z" uniqKey="Bungu Z">Z Bungu</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="case-report"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Int Med Case Rep J</journal-id><journal-id journal-id-type="iso-abbrev">Int Med Case Rep J</journal-id><journal-id journal-id-type="publisher-id">International Medical Case Reports Journal</journal-id><journal-title-group><journal-title>International Medical Case Reports Journal</journal-title></journal-title-group><issn pub-type="epub">1179-142X</issn><publisher><publisher-name>Dove Medical Press</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">27536163</article-id><article-id pub-id-type="pmc">4973725</article-id><article-id pub-id-type="doi">10.2147/IMCRJ.S111171</article-id><article-id pub-id-type="publisher-id">imcrj-9-227</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>Massive vulval Kaposi’s sarcoma in pregnancy: case report</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Ngwenya</surname><given-names>Solwayo</given-names></name><xref ref-type="aff" rid="af1-imcrj-9-227">1</xref><xref ref-type="aff" rid="af2-imcrj-9-227">2</xref><xref ref-type="corresp" rid="c1-imcrj-9-227"></xref></contrib></contrib-group><aff id="af1-imcrj-9-227"><label>1</label>Department of Obstetrics and Gynaecology, Mpilo Central Hospital, Mzilikazi</aff><aff id="af2-imcrj-9-227"><label>2</label>Royal Women’s Clinic, Bulawayo, Matabeleland, Zimbabwe</aff><author-notes><corresp id="c1-imcrj-9-227">Correspondence: Solwayo Ngwenya, Royal Women’s Clinic, 52A Cecil Avenue, Hillside, Bulawayo, Matabeleland, Zimbabwe, Tel +263 772 292 391, Email <email>drsolngwe@yahoo.co.uk</email></corresp></author-notes><pub-date pub-type="collection"><year>2016</year></pub-date><pub-date pub-type="epub"><day>29</day><month>7</month><year>2016</year></pub-date><volume>9</volume><fpage>227</fpage><lpage>229</lpage><permissions><copyright-statement>© 2016 Ngwenya. This work is published and licensed by Dove Medical Press Limited</copyright-statement><copyright-year>2016</copyright-year><license><license-p>The full terms of this license are available at <ext-link ext-link-type="uri" xlink:href="https://www.dovepress.com/terms.php">https://www.dovepress.com/terms.php</ext-link> and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</ext-link>). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.</license-p></license></permissions><abstract><sec><title>Introduction</title><p>The complications of HIV/AIDS can produce grossly abnormal pathology. In low-resourced settings, women can present late with huge lesions. Massive vulval pathology copresenting in pregnancy produces difficulties in managing the patients and may lead to poor maternal or fetal outcomes.</p></sec><sec><title>Case report</title><p>A 27-year-old P1 G2 (second pregnancy one live birth) patient presented at 30 weeks gestation with a massive vulval lesion. She was HIV seropositive and taking anti-retroviral therapy. She was anemic with a hemoglobin level of 5.9 and was transfused 4.0 of packed cells. She underwent examination under anesthesia and vulval biopsy. She went into preterm labor and was delivered by cesarean section. Unfortunately, the baby had died while receiving corticosteroid therapy. The histopathological report confirmed a Kaposi’s sarcoma, and she was referred to oncologists for chemotherapy.</p></sec><sec><title>Conclusion</title><p>Kaposi’s sarcoma can occur in pregnancy in both seropositive and seronegative patients. Kaposi’s sarcoma causes significant fetal and maternal health complications.</p></sec></abstract><kwd-group><title>Keywords</title><kwd>Vulval mass</kwd><kwd>Kaposi’s sarcoma</kwd><kwd>HIV</kwd><kwd>AIDS</kwd><kwd>anemia</kwd><kwd>pregnancy</kwd></kwd-group></article-meta></front><floats-group><fig id="f1-imcrj-9-227" position="float"><label>Figure 1</label><caption><p>A photo taken during examination under anesthesia showing a massive vulval mass.</p><p><bold>Notes:</bold> Lesions are hemorrhagic (A), necrotic (B), and friable (C).</p></caption><graphic xlink:href="imcrj-9-227Fig1"></graphic></fig></floats-group></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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