Sirolimus therapy for fetal cardiac rhabdomyoma in a pregnant woman with tuberous sclerosis

Rhabdomyoma is the most common fetal cardiac tumor, and its development is related to tuberous sclerosis. Fetal cardiac rhabdomyomas often spontaneously regress in utero or after birth, but large tumors can cause hemodynamic obstruction. Sirolimus, a mammalian target of rapamycin (mTOR) inhibitor, h...

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Main Authors: Hyea Park, Chi Son Chang, Suk-Joo Choi, Soo-young Oh, Cheong-Rae Roh
Format: Article
Language:English
Published: Korean Society of Obstetrics and Gynecology 2019-07-01
Series:Obstetrics & Gynecology Science
Subjects:
Online Access:http://ogscience.org/upload/pdf/ogs-62-280.pdf
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author Hyea Park
Chi Son Chang
Suk-Joo Choi
Soo-young Oh
Cheong-Rae Roh
author_facet Hyea Park
Chi Son Chang
Suk-Joo Choi
Soo-young Oh
Cheong-Rae Roh
author_sort Hyea Park
collection DOAJ
description Rhabdomyoma is the most common fetal cardiac tumor, and its development is related to tuberous sclerosis. Fetal cardiac rhabdomyomas often spontaneously regress in utero or after birth, but large tumors can cause hemodynamic obstruction. Sirolimus, a mammalian target of rapamycin (mTOR) inhibitor, has been used as an immunosuppressant after organ transplantation. The mTOR inhibitors are well-known to have anti-tumor activity, and they have been used for the treatment of patients with tuberous sclerosis. In the current case, fetal cardiac rhabdomyoma was completely resolved in utero during oral sirolimus treatment in the mother with tuberous sclerosis. This case shows that oral sirolimus therapy in pregnancy may be a treatment for multiple or large fetal cardiac rhabdomyomas.
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spelling doaj.art-bc6aa171bb76459a87a41fbda434fa452022-12-22T01:14:39ZengKorean Society of Obstetrics and GynecologyObstetrics & Gynecology Science2287-85722287-85802019-07-0162428028410.5468/ogs.2019.62.4.280586Sirolimus therapy for fetal cardiac rhabdomyoma in a pregnant woman with tuberous sclerosisHyea Park0Chi Son Chang1Suk-Joo Choi2Soo-young Oh3Cheong-Rae Roh4Department of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, .KoreaDepartment of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, .KoreaDepartment of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, .KoreaDepartment of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, .KoreaDepartment of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, .KoreaRhabdomyoma is the most common fetal cardiac tumor, and its development is related to tuberous sclerosis. Fetal cardiac rhabdomyomas often spontaneously regress in utero or after birth, but large tumors can cause hemodynamic obstruction. Sirolimus, a mammalian target of rapamycin (mTOR) inhibitor, has been used as an immunosuppressant after organ transplantation. The mTOR inhibitors are well-known to have anti-tumor activity, and they have been used for the treatment of patients with tuberous sclerosis. In the current case, fetal cardiac rhabdomyoma was completely resolved in utero during oral sirolimus treatment in the mother with tuberous sclerosis. This case shows that oral sirolimus therapy in pregnancy may be a treatment for multiple or large fetal cardiac rhabdomyomas.http://ogscience.org/upload/pdf/ogs-62-280.pdfsirolimuscardiac tumorrhabdomyomatuberous sclerosisfetal therapy
spellingShingle Hyea Park
Chi Son Chang
Suk-Joo Choi
Soo-young Oh
Cheong-Rae Roh
Sirolimus therapy for fetal cardiac rhabdomyoma in a pregnant woman with tuberous sclerosis
Obstetrics & Gynecology Science
sirolimus
cardiac tumor
rhabdomyoma
tuberous sclerosis
fetal therapy
title Sirolimus therapy for fetal cardiac rhabdomyoma in a pregnant woman with tuberous sclerosis
title_full Sirolimus therapy for fetal cardiac rhabdomyoma in a pregnant woman with tuberous sclerosis
title_fullStr Sirolimus therapy for fetal cardiac rhabdomyoma in a pregnant woman with tuberous sclerosis
title_full_unstemmed Sirolimus therapy for fetal cardiac rhabdomyoma in a pregnant woman with tuberous sclerosis
title_short Sirolimus therapy for fetal cardiac rhabdomyoma in a pregnant woman with tuberous sclerosis
title_sort sirolimus therapy for fetal cardiac rhabdomyoma in a pregnant woman with tuberous sclerosis
topic sirolimus
cardiac tumor
rhabdomyoma
tuberous sclerosis
fetal therapy
url http://ogscience.org/upload/pdf/ogs-62-280.pdf
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