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Re: Laryngeal Carcinoma and Pregnant From: Bucan Mitran Loredana (loribucan@yahoo.com) Sat Nov 10 05:42:18 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: DoctorJoe@aol.com: "Re: This is unbelievable! Health insurer tied bonuses to dropping sick policyholders" Previous message: GIN11153@aol.com: "This is unbelievable! Health insurer tied bonuses to dropping sick policyholders" At Wed, 3 Apr 1996, Geff Klein wrote: > >Ben Taub will always supply interesting cases... > >I would like to present this one for discussion: > >34 y/o G3P3A0LC2 at 25 weeks gestation presenting for continued prenatal care >at our high risk clinic... > >On 3/1/96 she underwent total laryngectomy, bilateral radical neck dissection, >and partial thyroidectomy for a squamous cell carcinoma of the larynx. > >Final staging T4N3 (stage 4 disease) > >She is now left with a permanent tracheostomy and a feeding tube. > >Prior medical history is significant for cardiac surgery at 7 for a >"hole in the heart". No current cardiac symptoms... > >OB history significant for SVD, C/S for breech, and a VBAC >(third child died of "crib death" at 3 months) > >Radiation oncologist wants to proceed directly with XRT, but patient is >unaware of her survival with or without radiation. Additionally, she is >unaware if XRT is delayed until a more mature fetus is prematurely delivered >(ie 32 weeks) how that might adversely affect her survival.. > >We are planning radiation onc and perinatal cnference to discuss these issues >and offer recommendations.. > >Any thoughts out there? > >(I am in the process of a lit search...) > >Geffrey H. Klein, MD >Baylor College of Medicine >Dept of Obstetrics and Gynecology >listowner: OB-GYN-L >gklein@bcm.tmc.edu >http://www.bcm.tmc.edu/obgyn/obgyn-ce/geff.html Hello Mr.Jeff, I had a similar case in 2006. 36-year-old woman with the diagnosis "laryngeal carcinoma" during pregnancy (28 weeks). Tumour stage T4aN2cMx. Patient refuses to stop the gestation as well as any XRT during pregnancy. After six month postpartum (periond during which radio therapy was undertaken) the tumour is in a stage of complete remission according to PET/CT Scan Report ("No macroscopic enhancement indicating FDG-avid malignancy could be detected by the examination"). I would very much like to receive information from you regarding the tumour evolution during pregnancy in the case you mentioned to have had. P.S. - I have another case of ethmoid carcima associated with pregnancy with similar evolution which I presented at the ORL congress at Vienna, 2007 Looking forward to your reply Loredana Bucan Mitran -- Loredana Bucan Mitran, MD Next message: DoctorJoe@aol.com: "Re: This is unbelievable! Health insurer tied bonuses to dropping sick policyholders" Previous message: GIN11153@aol.com: "This is unbelievable! Health insurer tied bonuses to dropping sick policyholders"

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