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Treatment of tracheal mucoepidermoid carcinoma by argon plasma coagulation during pregnancy.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Kesrouani, Assaad Dabar, Georges Rahal, Samir Ghorra, Claude
Description	Country affiliation: Lebanon Author Affiliation: Kesrouani A ( 1 Department of Ob-Gyn, Hotel-Dieu de France Hospital, St Joseph University, Beirut, Lebanon.)
Abstract	Mucoepidermoid carcinoma of the tracheobronchial tree is a rare airway tumor (<1% of all lung tumors). In adults, the majority of primary tracheal tumors are malignant. Management during pregnancy is complex and requires weighing maternal and fetal prognosis. Reported cases describe surgical resection following cesarean section. We report the first case to be treated by Argon-Plasma Coagulation (APC) in pregnancy. A 35-year-old Caucasian woman G1P0, at 27 weeks of gestation was admitted to the emergency department because of hemoptysis and severe dyspnea. Bronchoscopy and biopsies diagnosed primary tracheal mucoepidermoid carcinoma. Following an episode of tracheal bleeding, she was intubated. After thorough explanations to the family and obtaining informed consent, therapeutic bronchoscopy, under general anesthesia using a rigid bronchoscope, was performed. The tumor was cored out with the tip of the bronchoscope and removed with an alligator forceps. The tumor bed was coagulated with APC. The obstetrical team was ready to intervene in case of maternal emergency. Immediate follow-up was good, and she left the hospital 4 days later. She delivered at 39 weeks of gestation by cesarean section because of dystocia. Five years later, the patient is doing well without any signs or symptoms of recurrence. Pediatric follow-up is normal. Argon Plasma Coagulation for treatment of mucoepidermoid tracheal carcinoma is feasible during pregnancy. Reporting this case could lead to less aggressive management of mucoepidermoid carcinoma in pregnant patients.
File Format	HTM / HTML
ISSN	00208868
e-ISSN	25202456
DOI	10.9738/INTSURG-D-14-00169.1
Journal	International Surgery
Issue Number	5
Volume Number	100
Language	English
Publisher	International College of Surgeons
Publisher Date	2015-05-01
Publisher Place	Italy
Access Restriction	Open
Subject Keyword	Discipline General Surgery Argon Plasma Coagulation Carcinoma, Mucoepidermoid Diagnosis Therapy Pregnancy Complications, Neoplastic Tracheal Neoplasms Bronchoscopy Pathology Cesarean Section Neoplasm Grading Pregnancy Pregnancy Outcome
Content Type	Text
Resource Type	Case study Article
Subject	Surgery

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