A Case of Colorectal Cancer during Pregnancy: A Brief Review of the Literature
The incidence of colorectal cancer (CRC) during pregnancy is so rare. Herein we present a case of colorectal cancer that was missed by pregnancy all over the pregnancy period. The patient was a 37-year-old woman (gravid 4, para 2) referred with the complaints of vaginal discharge and suspicious rupt...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2013/626393 |
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| author | Sepideh Khodaverdi Ali Kord Valeshabad Maryam Khodaverdi |
| author_facet | Sepideh Khodaverdi Ali Kord Valeshabad Maryam Khodaverdi |
| author_sort | Sepideh Khodaverdi |
| collection | DOAJ |
| description | The incidence of colorectal cancer (CRC) during pregnancy is so rare. Herein we present a case of colorectal cancer that was missed by pregnancy all over the pregnancy period. The patient was a 37-year-old woman (gravid 4, para 2) referred with the complaints of vaginal discharge and suspicious rupture of membrane (ROM). The patient was pale and the initial physical examination revealed dilation of two fingers, effacement about 30%. She underwent emergent cesarean section which showed adhesions surrounding the uterus, the bladder, and the abdominal wall. Forty days postoperatively, the patient presented with abdominal pain in the left upper quadrant (LUQ). Imaging confirmed a mass in LUQ. Partial colectomy of transverse colon (20 cm) was performed. Postoperative histopathologic study revealed a 7 * 6 * 5 cm mass in transverse colon compatible to stage IIa of the Duck class (T3, N0, Mx). Adjuvant chemotherapy was applied and the patient showed improvements during 7 months followup after surgery. Colorectal cancer in pregnancy is associated with diagnostic and therapeutic challenges which mostly lead to late diagnosis in advanced stages and poor prognosis. A targeted program to improve the general population knowledge and the establishment of a national consultant and screening program particularly for women with a planned pregnancy in the high risk group might be beneficial. |
| format | Article |
| id | doaj-art-ac64a1a1917645fc9b48803417fc5432 |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-ac64a1a1917645fc9b48803417fc54322025-02-03T01:11:23ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922013-01-01201310.1155/2013/626393626393A Case of Colorectal Cancer during Pregnancy: A Brief Review of the LiteratureSepideh Khodaverdi0Ali Kord Valeshabad1Maryam Khodaverdi2Research Development Center, Shariati Hospital, Tehran University of Medical Sciences, P.O. Box 14155-6447, Tehran, IranDivision of Gastroenterology and Hepatology, School of Medicine, Johns Hopkins University, Baltimore, MD 21287, USAResearch Development Center, Shariati Hospital, Tehran University of Medical Sciences, P.O. Box 14155-6447, Tehran, IranThe incidence of colorectal cancer (CRC) during pregnancy is so rare. Herein we present a case of colorectal cancer that was missed by pregnancy all over the pregnancy period. The patient was a 37-year-old woman (gravid 4, para 2) referred with the complaints of vaginal discharge and suspicious rupture of membrane (ROM). The patient was pale and the initial physical examination revealed dilation of two fingers, effacement about 30%. She underwent emergent cesarean section which showed adhesions surrounding the uterus, the bladder, and the abdominal wall. Forty days postoperatively, the patient presented with abdominal pain in the left upper quadrant (LUQ). Imaging confirmed a mass in LUQ. Partial colectomy of transverse colon (20 cm) was performed. Postoperative histopathologic study revealed a 7 * 6 * 5 cm mass in transverse colon compatible to stage IIa of the Duck class (T3, N0, Mx). Adjuvant chemotherapy was applied and the patient showed improvements during 7 months followup after surgery. Colorectal cancer in pregnancy is associated with diagnostic and therapeutic challenges which mostly lead to late diagnosis in advanced stages and poor prognosis. A targeted program to improve the general population knowledge and the establishment of a national consultant and screening program particularly for women with a planned pregnancy in the high risk group might be beneficial.http://dx.doi.org/10.1155/2013/626393 |
| spellingShingle | Sepideh Khodaverdi Ali Kord Valeshabad Maryam Khodaverdi A Case of Colorectal Cancer during Pregnancy: A Brief Review of the Literature Case Reports in Obstetrics and Gynecology |
| title | A Case of Colorectal Cancer during Pregnancy: A Brief Review of the Literature |
| title_full | A Case of Colorectal Cancer during Pregnancy: A Brief Review of the Literature |
| title_fullStr | A Case of Colorectal Cancer during Pregnancy: A Brief Review of the Literature |
| title_full_unstemmed | A Case of Colorectal Cancer during Pregnancy: A Brief Review of the Literature |
| title_short | A Case of Colorectal Cancer during Pregnancy: A Brief Review of the Literature |
| title_sort | case of colorectal cancer during pregnancy a brief review of the literature |
| url | http://dx.doi.org/10.1155/2013/626393 |
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