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KMID : 0358420110540030147
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Korean Journal of Obstetrics and Gynecology
2011 Volume.54 No. 3 p.147 ~ p.150
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A CASE REPORT ON SUCCESSFUL PREGNANCY AND DELIVERY IN A MEDULLOBLASTOMA PATIENT
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Kwak Se-Hyoun
Park In-Yang
Wee Ji-Sun
Choi Mi-Rang
Shin Jong-Chul
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Abstract
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Medulloblastomas are rare neoplasms in adults. Medulloblastomas are treated by surgical removal of the tumor followed by radiotherapy. Because craniospinal irradiation can damage the hypothalamic-pituitary axis, uterus, and ovaries, and consequently result in infertility, the probability of pregnancy is quite low. We managed a patient who had undergone resection of a posterior fossa medulloblastoma and received craniospinal irradiation, who conceived spontaneously during follow-up. She was diagnosed with a recurrent medulloblastoma with metastasis to the spine accompanied by headaches and back pain at 26 weeks gestation. Conservative treatment measures were utilized in an effort to prolong the pregnancy. She was delivered by cesarean section due to recurrent seizure activity at 29 weeks plus 3 days gestation. The neonate made favorable progress and was discharged in good condition.
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KEYWORD
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Medulloblastoma, Recurrence, Metastasis, Pregnancy
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