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Colorectal carcinoma in pregnancy.
Archives of Surgery (Chicago, Ill. : 1960)
|May 1, 1985
Summary
Colorectal cancer during pregnancy is rare and often diagnosed late due to masked symptoms. An aggressive management approach prioritizing tumor removal while preserving pregnancy and fertility is proposed for improved outcomes.
Area of Science:
- Oncology
- Obstetrics & Gynecology
Background:
- Colorectal carcinoma (CRC) in pregnancy is a rare clinical occurrence.
- Symptoms of CRC can be masked by normal pregnancy changes, leading to diagnostic delays.
Observation:
- A case series of five patients with CRC during pregnancy was reviewed.
- Literature on managing this condition was also analyzed.
Findings:
- An aggressive management regimen involving tumor excision was developed.
- The regimen aims to preserve pregnancy and fertility when feasible.
- Advanced tumor stage at diagnosis contributes to a poor prognosis for most patients.
Implications:
- Early diagnosis and prompt treatment are crucial for improving survival rates in pregnant patients with CRC.
- The proposed management strategy offers a framework for balancing oncological needs with obstetric considerations.