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Advanced mucinous adenocarcinoma in pregnancy
Oncology Reports
|May 19, 2011
Summary
Colorectal cancer during pregnancy is rare, often presenting as an adnexal mass. Early diagnosis and treatment are crucial for maternal and fetal health, despite diagnostic challenges in pregnant patients.
Area of Science:
- Oncology
- Maternal-Fetal Medicine
- Surgical Pathology
Background:
- Adnexal masses occur in 1/81 to 1/2,500 pregnancies.
- Colorectal carcinoma in pregnancy is exceptionally rare, with <30 cases reported in 70 years.
- Differentiating ovarian vs. gastrointestinal mucinous adenocarcinoma is diagnostically challenging.
Purpose of the Study:
- To report a case of advanced colorectal cancer in a pregnant patient.
- To explore diagnostic and treatment strategies for colorectal cancer during pregnancy.
- To emphasize the importance of timely medical intervention for pregnant patients.
Main Methods:
- Case report of a 28-year-old pregnant patient.
- Initial presentation with asymptomatic unilateral adnexal mass on ultrasound at 26 weeks gestation.
- Diagnostic workup including elective and emergency laparotomy.
Main Results:
- Metastatic mucinous adenocarcinoma was identified during exploratory laparotomy.
- Final diagnosis of colorectal cancer was confirmed during a subsequent emergency laparotomy.
- The patient's advanced colorectal cancer was initially suspected as an ovarian mass.
Conclusions:
- Pregnant patients with adnexal masses require thorough evaluation to rule out malignancy.
- Delaying necessary procedures for pregnant patients can compromise maternal health.
- Healthcare providers must actively ensure pregnant patients receive appropriate and timely care for serious conditions.
