The Management of Pregnancy in Women with Hepatocellular Adenoma: A Plea for an Individualized Approach | Zendy

Mirelle E. E. Bröker | Zendy; Jan N.M. IJzermans | Zendy; Susanna M. van Aalten | Zendy; Robert A. de Man | Zendy; Türkan Terkivatan | Zendy

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The Management of Pregnancy in Women with Hepatocellular Adenoma: A Plea for an Individualized Approach

Author(s) -

Mirelle E. E. Bröker,

Jan N.M. IJzermans,

Susanna M. van Aalten,

Robert A. de Man,

Türkan Terkivatan

Publication year - 2012

Publication title -

international journal of hepatology

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.734

H-Index - 14

eISSN - 2090-3448

pISSN - 2090-3456

DOI - 10.1155/2012/725735

Subject(s) - medicine , pregnancy , hepatocellular adenoma , obstetrics , gynecology , adenoma , intensive care medicine , pediatrics , genetics , biology

Because of the risk of hormone-induced growth and spontaneous rupture of hepatocellular adenoma (HCA) during pregnancy, special considerations are required. Due to the scarcity of cases, there is no evidence-based algorithm for the evaluation and management of HCA during pregnancy. We think it should be questioned if it is justified to discourage pregnancy in all women with HCA. The biological behavior of this benign lesion might be less threatening than presumed and a negative advice concerning pregnancy has great impact on the lives of these young female patients. The balance between the pros and cons of hepatic adenomas and pregnancy should be reconsidered. In our center, pregnancy in women with an HCA up to 5 cm is no longer discouraged in close consultation with the patient, her partner, and members of the liver expert team.

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