RESUMO
Although cancer treatment during single pregnancy has been standardized, how to manage cancer diagnosed during a multiple gestation is still unclear. Chemotherapy during pregnancy has shown to be safe, however, there are reports of increased risks of fetal complications such as intrauterine growth restriction and preterm birth. Also, how to best adjust this to the pharmacokinetic characteristics of a twin gestation has yet to be fully investigated. We report the case of an IVF twin pregnancy with a diagnosis of breast cancer recurrence shortly after conception, and how the pregnancy was managed to obtain optimal obstetric, maternal/oncological, and fetal outcomes.
Assuntos
Neoplasias da Mama , Nascimento Prematuro , Recém-Nascido , Humanos , Feminino , Gravidez de Gêmeos , Paclitaxel/farmacologia , Paclitaxel/uso terapêutico , Neoplasias da Mama/tratamento farmacológicoRESUMO
This review examines the factors that affect the decision-making process of parental couples evaluating prenatal screening and diagnostic tests. A systematic search was performed using PubMed and PsycInfo databases. The 46 included studies had to: investigate the decision-making process about prenatal testing; focus on tests detecting trisomy 21, 18, 13, and abnormalities of sex chromosomes; be published in English peer-reviewed journals. The decision-making process seems composed of different levels: an individual level with demographic, clinical, and psychological aspects; a contextual level related to the technical features of the test and the information received; a relational level involving family and society.
Assuntos
Eclampsia/diagnóstico por imagem , Eclampsia/fisiopatologia , Período Pós-Parto , Convulsões/tratamento farmacológico , Convulsões/etiologia , Adulto , Anticonvulsivantes/uso terapêutico , Pressão Sanguínea , Feminino , Humanos , Imageamento por Ressonância Magnética , Neuroimagem , Gravidez , Tomografia Computadorizada por Raios XRESUMO
Caprellid material of the present study was collected between 25-3000 m depth from the Campos Basin area, Southwestern Atlantic. As a result, Deutella incerta was found as a new record to the Southwestern Atlantic and two new species are described: Liropus guerragarciai sp. nov. and Mayerella sittropiae sp. nov. Besides, Paracaprella pusilla is herein redescribed as a common component of the Campos Basin amphipod community. Caprellids are a diverse and abundant group that can be found among algae and general biological substrates of the continental shelf area. As more deep sea samples are coming into light, they are turning out to be also a common component in this habitat. Including the present data, there are 25 caprellid species recorded in Brazil, being four of them restricted to the slope areas and 14 endemic to the Brazilian coast. A key to the Caprellidae species from Brazil is provided.
