Osteosarcoma in a pregnant patient with McCune-Albright syndrome

被引:20
|
作者
Kanazawa, Ippei [1 ]
Yamauchi, Mika [1 ]
Yano, Shozo [1 ]
Imanishi, Yasuo [2 ]
Kitazawa, Riko [3 ]
Nariai, Yoshiki [4 ]
Araki, Asuka [5 ]
Kobayashi, Keisuke [2 ]
Inaba, Masaaki [2 ]
Maruyama, Riruke [6 ]
Yamaguchi, Toru [1 ]
Sugimoto, Toshitsugu [1 ]
机构
[1] Shimane Univ, Fac Med, Dept Internal Med 1, Izumo, Shimane 6938501, Japan
[2] Osaka City Univ, Grad Sch Med, Dept Metab Endocrinol & Mol Med, Osaka, Japan
[3] Kobe Univ, Grad Sch Med, Dept Pathol, Div Pathol, Kobe, Hyogo, Japan
[4] Shimane Univ, Dept Oral & Maxillofacial Surg, Fac Med, Matsue, Shimane, Japan
[5] Shimane Univ, Dept Pathol, Fac Med, Organ Pathol Unit, Matsue, Shimane, Japan
[6] Shimane Univ, Pathol Lab, Fac Med, Matsue, Shimane, Japan
关键词
Osteosarcoma; McCune-Albright syndrome; Pregnant; Acromegaly; GROWTH-FACTOR-I; HORMONE-RELATED PROTEIN; STIMULATORY G-PROTEIN; FIBROUS-DYSPLASIA; C-FOS; MALIGNANT TRANSFORMATION; CELL-LINES; BONE; RECEPTOR; EXPRESSION;
D O I
10.1016/j.bone.2009.05.018
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Malignant transformation of fibrous dysplasia is very rare and has not been previously described in patients with McCune-Albright syndrome in the absence of radiation treatment during gestation. Here, we report a 38-year-old pregnant woman with McCune-Albright syndrome and acromegaly accompanied by osteosarcoma. The patient was in the 6th week of pregnancy, when she visited our hospital. She had Multiple fibrous dysplasia, skin pigmentation, and acromegaly. The markedly high bone turnover rate during pregnancy tended to decrease after a normal delivery. Fibrous dysplasia of the lower jaw rapidly increased in the 37th week of pregnancy, and the tumor was surgically resected after delivery. Pathological examination of the resected tumor revealed fibrous dysplasia admixed with osteosarcoma containing chondroblastic and osteoblastic tissue. We firstly reported a case of osteosarcoma in a patient with McCune-Albright syndrome, which rapidly progressed during pregnancy. (C) 2009 Elsevier Inc. All rights reserved.
引用
收藏
页码:603 / 608
页数:6
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