Next Article in Journal
Adolescence, Adulthood and Self-Perceived Halitosis: A Role of Psychological Factors
Previous Article in Journal
Acceptability of Healthcare Professionals to Get Vaccinated against COVID-19 Two Weeks before Initiation of National Vaccination
Previous Article in Special Issue
Prevalence of Pathogens and Other Microorganisms in Premenopausal and Postmenopausal Women with Vulvovaginal Symptoms: A Retrospective Study in a Single Institute in South Korea
Case Report

Management Strategies for Brain Tumors Diagnosed during Pregnancy: A Case Report and Literature Review

1
Department of Obstetrics and Gynecology, Kindai University Faculty of Medicine, Osakasayama 589-8511, Japan
2
Department of Neurosurgery, Kindai University Faculty of Medicine, Osakasayama 589-8511, Japan
*
Author to whom correspondence should be addressed.
Academic Editors: Masafumi Koshiyama and Simone Ferrero
Received: 8 May 2021 / Revised: 26 May 2021 / Accepted: 10 June 2021 / Published: 12 June 2021
(This article belongs to the Special Issue Diagnosis, Prevention and Treatment for Diseases Specific to Women)
Background and Objectives: Maternal brain tumors diagnosed during pregnancy are very rare, and their clinical course remains incompletely understood. We recently experienced a case of a brain tumor diagnosed at 30 weeks of gestation, and the treatment was initiated after delivery at 32 weeks of gestation. In this study, we reviewed case reports of brain tumors diagnosed during pregnancy, focusing on whether the brain tumor was treated during pregnancy or after termination of pregnancy and on the timing of therapeutic intervention. Materials and Methods: We searched PubMed and Ichushi-Web for articles published after January 2000 that reported cases of maternal brain tumors diagnosed during pregnancy. The patients were divided into two groups according to whether the tumor was treated during pregnancy (Group A) or after termination of pregnancy (Group B). Results: In total, 42 patients were included in the study (13 (31%) in Group A and 29 (69%) in Group B). The most common symptoms before diagnosis were those caused by increased intracranial pressure (57.1%). The diagnosis was made at 18 ± 6 weeks of gestation in Group A and 26 ± 9 weeks of gestation in Group B (p = 0.007). In all cases diagnosed after 34 weeks of gestation, termination of pregnancy was followed by treatment. Treatment was initiated within two weeks of diagnosis in 50% of patients in Group A and 30% in Group B. Conclusions: When severe symptoms caused by increased intracranial pressure last for several weeks, imaging tests should be considered. Termination of pregnancy is a good option for a brain tumor diagnosed after 34 weeks of gestation, while comprehensive treatment decisions should be made based on the severity of symptoms and the course of pregnancy in other cases. View Full-Text
Keywords: brain tumor; choroid plexus papilloma; pregnancy; termination brain tumor; choroid plexus papilloma; pregnancy; termination
Show Figures

Figure 1

MDPI and ACS Style

Shiro, R.; Murakami, K.; Miyauchi, M.; Sanada, Y.; Matsumura, N. Management Strategies for Brain Tumors Diagnosed during Pregnancy: A Case Report and Literature Review. Medicina 2021, 57, 613. https://0-doi-org.brum.beds.ac.uk/10.3390/medicina57060613

AMA Style

Shiro R, Murakami K, Miyauchi M, Sanada Y, Matsumura N. Management Strategies for Brain Tumors Diagnosed during Pregnancy: A Case Report and Literature Review. Medicina. 2021; 57(6):613. https://0-doi-org.brum.beds.ac.uk/10.3390/medicina57060613

Chicago/Turabian Style

Shiro, Reona, Kosuke Murakami, Masaharu Miyauchi, Yasuhiro Sanada, and Noriomi Matsumura. 2021. "Management Strategies for Brain Tumors Diagnosed during Pregnancy: A Case Report and Literature Review" Medicina 57, no. 6: 613. https://0-doi-org.brum.beds.ac.uk/10.3390/medicina57060613

Find Other Styles
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop