title: Synchronous right hepatectomy and cesarean section in a pregnant lady with hepatocellular carcinoma.
abstract: BACKGROUND
  Cancer in pregnancy is rare and hepatocellular carcinoma (HCC) during pregnancy is even rarer. Due to limited experience, management of these patients remains challenging.
  
  
  METHODS
  A 33-year old pregnant lady presented with HCC at 28 weeks of gestation. She underwent synchronous cesarean section and right hepatectomy at 32 weeks of gestation. The post-operative course was uneventful. She was discharged home on day 10 after surgery. Histolopathology confirmed HCC. The surgical resection margins were clear. At a follow-up of 3 months after surgery, the mother was disease free and the infant was well.
  
  
  CONCLUSIONS
  HCC during pregnancy is extremely rare. The experience in its management and outcomes are lacking. In managing any patient diagnosed with a malignant neoplasm in pregnancy, both the mother and the fetus have to be considered.
  
  
  CONCLUSIONS
  With adequate preoperative assessment and a good management strategy, good results can be obtained for both the mother and the baby for a pregnant patient with HCC.
authors.affiliation: Department of Liver Surgery, The First People's Hospital of Foshan, Foshan 528000, Guang Dong, People's Republic of China. Electronic address: chwei@fsyyy.com.
authors.forename: Huan-Wei
authors.initials: HW
authors.lastname: Chen
authors.forename: Jie-Yuan
authors.initials: JY
authors.lastname: Li
authors.forename: Pei-Qing
authors.initials: PQ
authors.lastname: Huang
authors.forename: Ru-Fang
authors.initials: RF
authors.lastname: Chen
authors.forename: Eric C H
authors.initials: EC
authors.lastname: Lai
authors.forename: Wan Yee
authors.initials: WY
authors.lastname: Lau