Introduction:The discovery and management of metastatic renal cancer in women during pregnancy is a rare and exceptional situation. Observation: The authors report the medical observation of a 27-year-old woman, 18 weeks pregnant, admitted for the management of a right renal tumor revealed by right lower back pain with the appearance of left supraclavicular lymphadenopathy. The MRI had found a voluminous right renal mass tissue with hilar, precaval and primary iliac lymph nodes. Biopsy of the supraclavicular lymphadenopathy was in favor of a secondary localization of a renal tumor. After multidisciplinary consultation meeting, due to the absence of studies of targeted therapies in pregnant women, the decision was to terminate the pregnancy and a right nephrectomy was performed by costal laparotomy. The pathology confirmed the diagnosis and the patient were put on targeted therapy. Conclusion: Discovery of metastatic kidney cancer during pregnancy is exceptional. The lack of studies on the effects of antiangiogenic drugs on fetus is a real headache in preserving the life of the mother and the fetus.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.