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Rectal carcinoma during pregnancy

B R Parry1, B K Tan, W B Chan

  • 1Department of Colorectal Surgery, Singapore General Hospital.

The Australian and New Zealand Journal of Surgery
|September 1, 1994
PubMed
Summary
This summary is machine-generated.

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Rectal cancer during pregnancy is rare. Management balances cancer treatment with preserving the pregnancy, with timing dependent on gestational stage. Prognosis for rectal cancer in pregnancy remains poor.

Area of Science:

  • Oncology
  • Obstetrics & Gynecology

Background:

  • Rectal carcinoma presenting during pregnancy is a rare occurrence, with an incidence of 0.002%.
  • Managing rectal cancer in pregnant patients presents unique challenges due to conflicting goals of disease cure and pregnancy preservation.

Purpose of the Study:

  • To report on four cases of rectal carcinoma diagnosed during pregnancy.
  • To discuss the management strategies and outcomes for rectal cancer in pregnant patients.

Main Methods:

  • Case series reporting on four patients with rectal carcinoma diagnosed during pregnancy.
  • Review of management approaches based on gestational trimester.

Main Results:

  • Surgical resection with pregnancy preservation is feasible in the first or second trimester.

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  • Delaying tumor removal until after delivery is recommended in the third trimester.
  • The overall prognosis for rectal cancer diagnosed during pregnancy is poor.

    • Conclusions:

    • Management of rectal cancer during pregnancy requires careful consideration of gestational age.
    • Timely intervention is crucial, but outcomes remain challenging.
    • Further research is needed to improve the prognosis for this rare condition.