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Pregnancy associated with gastric carcinoma
1Department of Obstetrics and Gynecology, Taipei Municipal Women and Children's Hospital, Taiwan.
Journal of the Formosan Medical Association = Taiwan Yi Zhi
|January 13, 1999
Summary
Gastric cancer in pregnancy is rare and difficult to diagnose early. Delayed diagnosis leads to advanced disease and poor outcomes, highlighting the need for increased obstetrician awareness.
Area of Science:
- Oncology
- Maternal-Fetal Medicine
Background:
- Gastric cancer during pregnancy is an exceptionally rare clinical occurrence.
- This case highlights the diagnostic challenges and poor prognosis associated with advanced gastric cancer in pregnant individuals.
Observation:
- A 32-year-old woman presented with advanced gastric cancer during pregnancy.
- Symptoms were noted in the third trimester, but diagnosis was delayed until postpartum, precluding curative treatment.
Findings:
- The patient's advanced gastric cancer was diagnosed seven days postpartum.
- She underwent palliative procedures and unfortunately died less than three months postpartum.
Implications:
- Obstetricians must maintain high awareness for early gastric cancer detection in pregnant patients.
- Persistent gastrointestinal symptoms beyond the second trimester warrant endoscopic evaluation.
- Elevated serum carcinoembryonic antigen and occult blood in stool are key indicators for investigation.