Locally advanced colorectal cancer in pregnancy

Czech version

Authors: I. Němcová ^1,2; P. Gloserová ¹; J. Kubát ³; G. Hensel ^1,2; M. Košťál ^1,2
Authors‘ workplace: Porodnicko-gynekologická klinika Pardubické nemocnice, Nemocnice Pardubického kraje, přednosta doc. MUDr. M. Košťál, CSc. ¹; Fakulta zdravotnických studií Univerzity Pardubice, děkan prof. MUDr. J. Fusek, DrSc. ²; Interní klinika Pardubické nemocnice, Nemocnice Pardubického kraje, přednosta MUDr. P. Vojtíšek, CSc. ³
Published in: Ceska Gynekol 2019; 84(3): 208-211
Category: Case Report

Overview

Objective: To highlight the issue of diagnostics and treatment management in colorectal cancer of pregnant women.

Design: Case report.

Setting: Department of Obstetrics and Gynaecology, Pardubice Hospital.

Case report: We present a case of a 24-year-old secundigravida, diagnosed as colorectal cancer in week 34 of pregnancy, manifesting as a diarrhoea and a stomach ache. The diagnosis was made in an advanced stage due to underestimation of clinical symptoms.

Conclusion: The diagnosis of the colorectal cancer in pregnancy can be difficult because the presenting symptoms are easily attributable to pregnancy. Therefore the advanced disease is diagnosed more frequently in pregnant patients than in the general population. Colorectal cancer should be managed by multidisciplinary team with regard to gestation.

Keywords:

pregnancy – colorectal cancer – diarrhoea in pregnancy

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