Virilisation during Pregnancy in a Patient with Metastatic Colorectal Cancer

This paper describes the case of a 25-year-old woman with virilisation occurring during pregnancy in the presence of metastatic colorectal cancer. Virilisation during pregnancy is rare. The potential causes include adrenal, foetal, or ovarian pathologies. The most common causes during pregnancy are...

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Main Authors: F. Conway, S. Jarvis, M. Thornton
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2012/704039
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author F. Conway
S. Jarvis
M. Thornton
author_facet F. Conway
S. Jarvis
M. Thornton
author_sort F. Conway
collection DOAJ
description This paper describes the case of a 25-year-old woman with virilisation occurring during pregnancy in the presence of metastatic colorectal cancer. Virilisation during pregnancy is rare. The potential causes include adrenal, foetal, or ovarian pathologies. The most common causes during pregnancy are pregnancy luteoma and hyperreactio luteinalis. The incidence of cancer during pregnancy is rare and the incidence of colorectal cancer (CRC) in pregnancy is even rarer. The presenting signs and symptoms of CRC can be confused with symptoms commonly encountered during pregnancy, thereby delaying diagnosis and commencement of treatment. Diagnosis and staging also proves more problematic in the pregnant patient as the usual modalities of colonoscopy with biopsy and imaging with CT are relatively contraindicated. Treatment is dependent on gestational age of the foetus. There is currently no agreed best practice as to the role of prophylactic oophorectomy in the prevention of metachronous ovarian metastases. Surgical and adjuvant treatments have implications for females of child-bearing age.
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spelling doaj-art-caad2225c2724e6eb4350c4bca5ec6372025-08-20T03:24:06ZengWileyCase Reports in Surgery2090-69002090-69192012-01-01201210.1155/2012/704039704039Virilisation during Pregnancy in a Patient with Metastatic Colorectal CancerF. Conway0S. Jarvis1M. Thornton2General Surgical Department, Wishaw General Hospital, 50 Netherton Street, Wishaw ML2 0DP, UKClinical Laboratories, Wishaw General Hospital, 50 Netherton Street, Wishaw ML2 0DP, UKGeneral Surgical Department, Wishaw General Hospital, 50 Netherton Street, Wishaw ML2 0DP, UKThis paper describes the case of a 25-year-old woman with virilisation occurring during pregnancy in the presence of metastatic colorectal cancer. Virilisation during pregnancy is rare. The potential causes include adrenal, foetal, or ovarian pathologies. The most common causes during pregnancy are pregnancy luteoma and hyperreactio luteinalis. The incidence of cancer during pregnancy is rare and the incidence of colorectal cancer (CRC) in pregnancy is even rarer. The presenting signs and symptoms of CRC can be confused with symptoms commonly encountered during pregnancy, thereby delaying diagnosis and commencement of treatment. Diagnosis and staging also proves more problematic in the pregnant patient as the usual modalities of colonoscopy with biopsy and imaging with CT are relatively contraindicated. Treatment is dependent on gestational age of the foetus. There is currently no agreed best practice as to the role of prophylactic oophorectomy in the prevention of metachronous ovarian metastases. Surgical and adjuvant treatments have implications for females of child-bearing age.http://dx.doi.org/10.1155/2012/704039
spellingShingle F. Conway
S. Jarvis
M. Thornton
Virilisation during Pregnancy in a Patient with Metastatic Colorectal Cancer
Case Reports in Surgery
title Virilisation during Pregnancy in a Patient with Metastatic Colorectal Cancer
title_full Virilisation during Pregnancy in a Patient with Metastatic Colorectal Cancer
title_fullStr Virilisation during Pregnancy in a Patient with Metastatic Colorectal Cancer
title_full_unstemmed Virilisation during Pregnancy in a Patient with Metastatic Colorectal Cancer
title_short Virilisation during Pregnancy in a Patient with Metastatic Colorectal Cancer
title_sort virilisation during pregnancy in a patient with metastatic colorectal cancer
url http://dx.doi.org/10.1155/2012/704039
work_keys_str_mv AT fconway virilisationduringpregnancyinapatientwithmetastaticcolorectalcancer
AT sjarvis virilisationduringpregnancyinapatientwithmetastaticcolorectalcancer
AT mthornton virilisationduringpregnancyinapatientwithmetastaticcolorectalcancer